Individual
BRANDON LEE TARWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
6200 W KELLOGG DR, WICHITA, KS 67209-2352
(316) 941-4427
(316) 941-4086
Mailing address
6200 W KELLOGG DR, WICHITA, KS 67209-2352
(316) 941-4427
(316) 941-4086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14423
KS
183500000X
Pharmacist
R-14233
OK
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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