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NPI Code Detail

MEDICARE: BAILEY SHEA FREEMAN PHARM D

MEDICARE: BAILEY SHEA FREEMAN 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
1183500000XPharmacist29862NC

General Provider Information

NPI Number : 1639781297
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY SHEA FREEMAN PHARM D
Provider Business Mailing Address
First Line : 225 N OLATHE VIEW RD
Second Line :
City : OLATHE
State : KS
Zip : 66061-5068
Country : US
Telephone Number : 785-294-1918
Fax Number : 816-995-1597
Provider Business Practice Location Address
First Line : 2301 MAIN ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-2442
Country : US
Telephone Number : 816-395-3169
Fax Number : 816-995-1597
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2020
Last Update Date : 04/26/2024

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