Individual
JATANDRA LEE BIRNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
929 NORTH SAINT FRANCIS STREET, LOWER LEVEL PHARMACY DEPARTMENT, WICHITA, KS 67214
(316) 268-5098
(316) 768-8490
Mailing address
4233 N WOODLAWN BLVD, BEL AIRE, KS 67220-3836
(443) 768-3056
(316) 768-8490
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-14682
KS
1835X0200X
Oncology Pharmacist
Primary
1-14682
KS
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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