| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PAHINI ROSS | 1790373298 | 2021-01-09 |
| Entity Type | Individual |
| Provider Name | Pahini Ross PHARM.D. |
| Practice Office Address | 16600 LUCILLE ST OVERLAND PARK, KS US |
| Practice Office Telephone | 8168639953 |
| Mailing Address | 16600 LUCILLE ST OVERLAND PARK, KS 662217972 US |
| Business Telephone | 8168639953 |
| Code | License No | State |
|---|---|---|
| 183500000X PRIMARY | 2011027141 | MO |