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General NPI Number Information
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NPI Number | 1467838623
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Entity Type | Organization
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Legal Business Name | WHEELS'S PHARMACY
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 2450 GRAND BLVD
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City | KANSAS CITY
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State | MO
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Zip | 64108-2535
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Country | US
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Telephone | 816-260-6346
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Fax | 816-222-0570
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Provider Business Mailing Address
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Address Line | 903 N 36TH ST
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-2971
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Country | US
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Telephone | 816-260-6346
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Fax | 816-222-0570
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEROME L WHEELER
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Credential | RPH
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Telephone | 816-260-6346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2015020764
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License Number State | MO
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