Healthcare Provider Details

I. General information

NPI: 1710071477
Provider Name (Legal Business Name): MARC E. FINKE PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 E. MAIN ST.
DREXEL MO
64742-0407
US

IV. Provider business mailing address

13813 HAUSER ST
OVERLAND PARK KS
66221-2889
US

V. Phone/Fax

Practice location:
  • Phone: 816-657-2448
  • Fax: 816-657-2851
Mailing address:
  • Phone: 913-402-8708
  • Fax: 816-657-2851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number045007
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: