Individual
DR. PHOG ALLEN CHARLES PYWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4976
(316) 962-2000
Mailing address
191 S 135TH ST W UNIT 1022, WICHITA, KS 67235-5606
(316) 821-8108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-105405
KS
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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