Most Relevant Information
Provider Data
| NPI Number: | 1003417338 |
| Provider Name: | SHAUN SOUSLEY PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 2003015841 |
Most Important Dates
| Enumeration Date: | 11/03/2020 |
| Last Updated: | 11/03/2020 |
Provider Practice Location
1000 NE SAM WALTON LN
LEES SUMMIT
MO
640868426
Practice Location Phone/Fax
| Phone: | 8165252750 |
| Fax: |
Provider Mailing Location
1000 NE SAM WALTON LN
LEES SUMMIT
MO
640868426
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |