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1083020531
MATTHEW FORTNER
KANSAS CITY, MO
NPI
1083020531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KS 1-16550)
Enumeration Date
2014-07-05
Last Update Date
2014-07-05
Business Address
Dr. MATTHEW FORTNER Pharm.D.
1201 W 136TH ST
KANSAS CITY, MO 64145-1647
Phone number: 816-412-0108
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Mailing Address
Dr. MATTHEW FORTNER Pharm.D.
1201 W 136TH ST
KANSAS CITY, MO 64145-1647
Phone number: 816-412-0108
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