Individual
LISA WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2200 N STATE ST, IOLA, KS 66749-1636
(620) 365-7637
(620) 365-7802
Mailing address
1602 MISSOURI RD, IOLA, KS 66749-3905
(785) 221-4909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11373
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11373
STATE LISCENCE NUMBER
KS
Enumeration date
11/06/2015
Last updated
11/06/2015
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