Individual
STACI CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12010 SHAWNEE MISSION PKWY, SHAWNEE, KS 66216-1867
(913) 268-8150
Mailing address
12010 SHAWNEE MISSION PKWY, SHAWNEE, KS 66216-1867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-106537
KS
Other
Enumeration date
08/01/2021
Last updated
08/17/2021
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