Individual
BRENDA LEE SCHLOTTERBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5505 E HARRY ST, WICHITA, KS 67218-3825
(316) 689-0880
(316) 682-4611
Mailing address
5505 E HARRY ST, WICHITA, KS 67218-3825
(316) 689-0880
(316) 682-4611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11580
KS
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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