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NPI Code Detail

MEDICARE: KESSLER PHARMACY SERVICES LLC

MEDICARE: KESSLER PHARMACY SERVICES LLC
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
13336C0003XCommunity/Retail Pharmacy2009012394MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12048985OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659367399
Entity Type Code : Organization
Provider Name (Legal Business Name) : KESSLER PHARMACY SERVICES LLC
Provider Business Mailing Address
First Line : 4400 BROADWAY ST
Second Line : STE 106
City : KANSAS CITY
State : MO
Zip : 64111-3498
Country : US
Telephone Number : 816-931-0100
Fax Number : 816-931-3677
Provider Business Practice Location Address
First Line : 9411 N OAK TRFY
Second Line : STE 120
City : KANSAS CITY
State : MO
Zip : 64155-2233
Country : US
Telephone Number : 816-436-2400
Fax Number : 816-468-6229
Authorized Official
Title or Position : MANAGING MEMBER
Name : ADAM EMO
Credential :
Telephone Number : 816-931-0100
Provider Enumeration Date : 09/27/2005
Last Update Date : 08/19/2013

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Directions to “KESSLER PHARMACY SERVICES LLC ” Practice Location

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