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1356428825
TOM LEE TATTERSHALL
LEAVENWORTH, KS
NPI
1356428825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MO 040881)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
TOM LEE TATTERSHALL R.PH.
5000 S 13TH ST
LEAVENWORTH, KS 66048-5581
Phone number: 913-727-4820
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Mailing Address
TOM LEE TATTERSHALL R.PH.
5417 WILLOW AVE
RAYTOWN, MO 64133-2843
Phone number: 816-737-1927
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