Ivna Medical Group LLC
NPI #1013062090 in Independence, Missouri
Provider Information
- NPI Number
- 1013062090
- Entity Type
- Organization
- Organization Name
- Ivna Medical Group LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Apr 28, 2017
Practice Location
- Address
- 4811 S ARROWHEAD DR
- City
- Independence
- State
- Missouri
- ZIP Code
- 64055-6981
- Phone
- (816) 356-4600
Authorized Official
- Name
- VIKRANTH ANNEBOINA
- Title
- MEMBER
- Phone
- (816) 356-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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