Individual
DYLAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9211 E 21ST ST N, WICHITA, KS 67206-2900
(316) 609-4501
Mailing address
9211 E 21ST ST N, WICHITA, KS 67206-2900
(316) 609-4501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-112777
KS
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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