Provider Demographics
NPI:1194151696
Name:YOUNG, NEIL F (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:F
Last Name:YOUNG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 NW TOWER DR STE A
Mailing Address - Street 2:
Mailing Address - City:PLATTE WOODS
Mailing Address - State:MO
Mailing Address - Zip Code:64151-4438
Mailing Address - Country:US
Mailing Address - Phone:816-584-2669
Mailing Address - Fax:816-584-2652
Practice Address - Street 1:6500 NW TOWER DR STE A
Practice Address - Street 2:
Practice Address - City:PLATTE WOODS
Practice Address - State:MO
Practice Address - Zip Code:64151-4438
Practice Address - Country:US
Practice Address - Phone:816-584-2669
Practice Address - Fax:816-584-2652
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011026634183500000X
KS1-15271183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist