Travis J McKibbin, PharmD
Pharmacist in Raymore, MO. Individual provider (NPI-1).
NPI number1164095006
StatusActive
Last updated in NPPESJul 19, 2021
Details
- NPI
- 1164095006
- Entity type
- Individual (NPI-1)
- Name
- Travis J McKibbin
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2021
- Certification date
- Jul 19, 2021
- Last updated
- Jul 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 2019244651 | MO | Yes |
Practice location
1214 W Foxwood DrRaymore, MO 64083-8300
Phone 816-331-1410
Mailing address
1214 W Foxwood DrRaymore, MO 64083-8300
Phone 816-331-1410
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