Individual
MARTHA JEAN TYMONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S VILLAGE RD, EL DORADO, KS 67042-4087
(316) 322-8901
Mailing address
PO BOX 381, EL DORADO, KS 67042-0381
(316) 322-5972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111536
KS
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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