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NPI Code Detail

MEDICARE: AMANDA ZUNGURA PHARMD

MEDICARE: AMANDA ZUNGURA PHARMD
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
1183500000XPharmacist2014024147MO

General Provider Information

NPI Number : 1063018620
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA ZUNGURA PHARMD
Provider Business Mailing Address
First Line : 1028 SW CROSSING DR
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64081-3243
Country : US
Telephone Number : 417-235-4506
Fax Number :
Provider Business Practice Location Address
First Line : 1900 E LANGSFORD RD
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64063-3600
Country : US
Telephone Number : 816-554-9500
Fax Number : 816-554-1538
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2020
Last Update Date : 12/09/2020

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Directions to “ AMANDA ZUNGURA PHARMD” Practice Location

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