Individual
JONATHAN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10050 WOODLAND DR, LENEXA, KS 66220-3802
(913) 397-0906
(913) 397-0332
Mailing address
10050 WOODLAND DR, LENEXA, KS 66220-3802
(913) 397-0906
(913) 397-0332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15017
KS
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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