Individual
TERRI DAINTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1335 LUE DR, COLBY, KS 67701-2815
(303) 981-1296
(620) 624-5096
Mailing address
1335 LUE DR, COLBY, KS 67701-2815
(303) 981-1296
(620) 624-5096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14792
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14729
LICENSE NUMBER
KS
Enumeration date
11/07/2011
Last updated
11/07/2011
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