=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669602686
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANGEL,S TOUCH PHARMACY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/24/2009
-----------------------------------------------------
Last Update Date | 07/24/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 151 S 18TH ST STE H
-----------------------------------------------------
City | KANSAS CITY
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66102-5601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-322-6700
-----------------------------------------------------
Fax | 913-322-6699
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13208 CANTERBURY RD
-----------------------------------------------------
City | LEAWOOD
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66209-1907
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-669-0576
-----------------------------------------------------
Fax | 913-327-7573
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | DR. IJAZ RASHID
-----------------------------------------------------
Credential | M.D
-----------------------------------------------------
Telephone | 913-669-0576
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------