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NPI Code Detail

MEDICARE: JANIS KAY WYLAND RPH

MEDICARE:   JANIS KAY WYLAND  RPH
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
1183500000XPharmacist042529KS
2183500000XPharmacist1-11277KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1042529OTHERMOMISSOURI STATE BOARD OF PHARMACY

General Provider Information

NPI Number : 1205480837
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANIS KAY WYLAND RPH
Provider Business Mailing Address
First Line : 1336 NE 106TH TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-1746
Country : US
Telephone Number : 816-769-7765
Fax Number :
Provider Business Practice Location Address
First Line : 1336 NE 106TH TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-1746
Country : US
Telephone Number : 816-769-7765
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2019
Last Update Date : 11/27/2023

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Directions to “ JANIS KAY WYLAND RPH” Practice Location

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