Individual
MICHAEL WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1075 W SANTA FE ST, OLATHE, KS 66061-3115
(913) 764-5858
Mailing address
16943 W 68TH ST APT 259, SHAWNEE, KS 66217-9670
(816) 853-5741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-103889
KS
183500000X
Pharmacist
2021034107
MO
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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