Dedicated Missouri Holding, LLC
NPI #1992451868 in Independence, Missouri
Provider Information
- NPI Number
- 1992451868
- Entity Type
- Organization
- Organization Name
- Dedicated Missouri Holding, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DEDICATED MISSOURI HOLDING, LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Mar 1, 2022
- Last Updated
- Mar 1, 2022
Practice Location
- Address
- 1010 W US HIGHWAY 24
- City
- Independence
- State
- Missouri
- ZIP Code
- 64050-2337
- Phone
- (816) 608-2921
Authorized Official
- Name
- MARY CHEN
- Title
- AUTHORIZED OFFICIAL
- Phone
- (305) 628-6117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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