Healthcare Provider Details

I. General information

NPI: 1982201257
Provider Name (Legal Business Name): AMBER MCFARLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2020
Last Update Date: 10/08/2020
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 S NOLAND RD
INDEPENDENCE MO
64055-4887
US

IV. Provider business mailing address

7571 MULBERRY RD
ODESSA MO
64076-9678
US

V. Phone/Fax

Practice location:
  • Phone: 816-478-1968
  • Fax:
Mailing address:
  • Phone: 816-686-3550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2008028425
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: