Individual
LISA VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 N WEST ST, WICHITA, KS 67203-1211
(316) 941-1927
Mailing address
640 N WEST ST, WICHITA, KS 67203-1211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15062
KS
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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