Individual
CATHY VINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3751 W MAIN ST, INDEPENDENCE, KS 67301-8446
(620) 331-1260
(620) 331-1262
Mailing address
1022 FRUITLAND AVE, INDEPENDENCE, KS 67301-8560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10429
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720110
NCPDP
KS
05
—
200634910C
—
KS
Enumeration date
01/24/2017
Last updated
01/24/2017
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