MEDICARE: DR. LAUREN MISHLER PHARM.D., BCPS

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	1-15292	KS

General Provider Information

NPI Number	:	1437407533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN MISHLER PHARM.D., BCPS

Provider Business Mailing Address
First Line	:	5416 BROOKSIDE BLVD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64112-2863
Country	:	US
Telephone Number	:	913-553-0707
Fax Number	:

Provider Business Practice Location Address
First Line	:	5416 BROOKSIDE BLVD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64112-2863
Country	:	US
Telephone Number	:	913-553-0707
Fax Number	:

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

Provider Enumeration Date	:	08/21/2012
Last Update Date	:	04/20/2017

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