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NPI Code Detail

MEDICARE: DR. BROOKE YATES PATTERSON PHARMD

MEDICARE: DR. BROOKE YATES PATTERSON PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist26021447AIN

General Provider Information

NPI Number : 1245220466
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BROOKE YATES PATTERSON PHARMD
Provider Business Mailing Address
First Line : 23 W 66TH TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64113-1858
Country : US
Telephone Number : 816-268-1948
Fax Number :
Provider Business Practice Location Address
First Line : 3515 BROADWAY ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2537
Country : US
Telephone Number : 816-777-2721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 07/08/2007

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