MEDICARE: WHEELS'S PHARMACY

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
1	3336C0003X	Community/Retail Pharmacy	2015020764	MO

General Provider Information

NPI Number	:	1467838623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHEELS'S PHARMACY

Provider Business Mailing Address
First Line	:	903 N 36TH ST
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-2971
Country	:	US
Telephone Number	:	816-260-6346
Fax Number	:	816-222-0570

Provider Business Practice Location Address
First Line	:	2450 GRAND BLVD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-2535
Country	:	US
Telephone Number	:	816-260-6346
Fax Number	:	816-222-0570

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JEROME L WHEELER
Credential	:	RPH
Telephone Number	:	816-260-6346

Provider Enumeration Date	:	08/10/2015
Last Update Date	:	08/10/2015

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Directions to “WHEELS'S PHARMACY ” Practice Location

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