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NPI Code Detail

MEDICARE: SEAN MICHAEL AUBREY PHARM.D.

MEDICARE: SEAN MICHAEL AUBREY PHARM.D.
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
1183500000XPharmacist2011020688MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12011020688OTHERMOSTATE LICENSE

General Provider Information

NPI Number : 1487994463
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN MICHAEL AUBREY PHARM.D.
Provider Business Mailing Address
First Line : 500 NE BARRY RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-2879
Country : US
Telephone Number : 816-468-7666
Fax Number : 816-436-0403
Provider Business Practice Location Address
First Line : 500 NE BARRY RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-2879
Country : US
Telephone Number : 816-468-7666
Fax Number : 816-436-0403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2013
Last Update Date : 02/27/2013

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