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1063153914
DEDICATED MISSOURI HOLDING, LLC
KANSAS CITY, MO
NPI
1063153914
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Entity Type
Organization
Authorized Contact
MARY CHEN
Authorized Official
305-628-6117
Organization Subpart ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
DEDICATED MISSOURI HOLDING, LLC
4400 E 39TH ST
KANSAS CITY, MO 64128-2818
Phone number: 816-791-7177
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Mailing Address
DEDICATED MISSOURI HOLDING, LLC
1395 NW 167TH ST
MIAMI, FL 33169-5710
Phone number: 305-628-6117
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