MEDICARE: DR. AUSTIN JOSEPH BIELBY PHARM D.

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
1	183500000X	Pharmacist	2015039071	MO

General Provider Information

NPI Number	:	1225641970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUSTIN JOSEPH BIELBY PHARM D.

Provider Business Mailing Address
First Line	:	358 E US HIGHWAY 69
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64119-3117
Country	:	US
Telephone Number	:	816-413-0079
Fax Number	:	816-413-0687

Provider Business Practice Location Address
First Line	:	358 E US HIGHWAY 69
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64119-3117
Country	:	US
Telephone Number	:	816-413-0079
Fax Number	:	816-413-0687

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2020
Last Update Date	:	08/24/2020

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