Individual
LYNN DIANE STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5611 E HARRY ST, WICHITA, KS 67218-3801
(316) 684-5864
(316) 684-5262
Mailing address
5611 E HARRY ST, WICHITA, KS 67218-3801
(316) 684-5864
(316) 684-5262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.293273
IL
183500000X
Pharmacist
Primary
1-13254
KS
183500000X
Pharmacist
18762
IA
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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