Individual
CARISSA L ABERNATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 E SPRING AVE, CONWAY SPRINGS, KS 67031-3101
(620) 456-2220
(620) 456-2231
Mailing address
PO BOX 5, CONWAY SPRINGS, KS 67031-0005
(620) 456-2220
(620) 456-2231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15230
KS
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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