Provider Demographics
NPI:1588762488
Name:LITTRELL, JOHN E (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:E
Last Name:LITTRELL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:JOHN
Other - Middle Name:E
Other - Last Name:LITTRELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:300 NW LAKEWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1137
Mailing Address - Country:US
Mailing Address - Phone:816-373-0942
Mailing Address - Fax:816-922-4736
Practice Address - Street 1:4801 E LINWOOD BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128-2226
Practice Address - Country:US
Practice Address - Phone:816-861-4700
Practice Address - Fax:816-922-4736
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO027998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist