JONATHAN MARTIN MIDGORDEN

INDEPENDENCE, MO
NPI1770187635
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MO  2014027817)
Enumeration Date2020-11-22
Last Update Date2020-11-22
Business Address
Dr. JONATHAN MARTIN MIDGORDEN PharmD
11115 E US HIGHWAY 24
INDEPENDENCE, MO 64054-1567
Phone number: 816-833-2493
Mailing Address
Dr. JONATHAN MARTIN MIDGORDEN PharmD
1012 SW 14TH ST
LEES SUMMIT, MO 64081-3234
Phone number: 816-225-8421
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