LA THACH

RAYTOWN, MO
NPI1831794783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MO  2004035741)
Enumeration Date2020-11-30
Last Update Date2020-11-30
Business Address
LA THACH Pharm.D
5310 BLUE RIDGE BLVD
RAYTOWN, MO 64133-3063
Phone number: 816-313-1280
Mailing Address
LA THACH Pharm.D
708 NE DICK HOWSER CT
LEES SUMMIT, MO 64064-1673
Phone number: 816-536-9688