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Individual

JOSEPH THEODORE BERGKAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
744 N WACO AVE, WICHITA, KS 67203-3936
(316) 263-5218
Mailing address
744 N WACO AVE, WICHITA, KS 67203-3936
(316) 263-5218

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16840
KS

Other

Enumeration date
03/27/2015
Last updated
03/27/2015
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