Individual
VICTOR J HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2700 S SANTA FE AVE, CHANUTE, KS 66720-3204
(620) 431-4064
Mailing address
2700 S SANTA FE AVE, CHANUTE, KS 66720-3204
(620) 431-4064
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-11957
KS
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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