Individual
JENNIFER OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-1111
Mailing address
613 NOTTINGHAM RD, LAWRENCE, KS 66049-8905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-102927
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-102927
KANSAS BOARD OF PHARMACY
KS
Enumeration date
10/04/2017
Last updated
10/31/2018
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