Individual
MR. HOWARD W HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5555 S. BROADWAY, WICHITA, KS 67216
(316) 529-1788
Mailing address
5555 S. BROADWAY, WICHITA, KS 67216
(316) 529-1788
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-09960
KS
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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