Individual
MR. MONTY RAY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1555 S BROADWAY ST, WICHITA, KS 67211-3131
(316) 262-5383
(316) 262-7469
Mailing address
1555 S BROADWAY ST, WICHITA, KS 67211-3131
(316) 262-5383
(316) 262-7469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-12395
KS
183500000X
Pharmacist
9490
OK
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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