DR. Ethan Chanliongco, PHARMD
NPI #1992682439 in Kansas City, Missouri
Provider Information
- NPI Number
- 1992682439
- Entity Type
- Individual
- Name
- DR. Ethan Chanliongco, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Aug 18, 2025
- Last Updated
- Aug 18, 2025
Practice Location
- Address
- 4400 BROADWAY BLVD STE 106
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64111-3395
- Phone
- (816) 931-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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