Individual
DR. IDIA TOKUNBOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
4794 E 13TH ST N, WICHITA, KS 67208-2204
(316) 361-3387
Mailing address
11710 W RYAN ST, WICHITA, KS 67205-2196
(316) 409-8800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16393
KS
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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