Individual
EBUBE OTUONYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2251 E 21ST ST N STE 121, NEIGHBORHOOD PHARMACY, WICHITA, KS 67214-1976
(316) 665-4427
Mailing address
2251 E 21ST ST N STE 121, NEIGHBORHOOD PHARMACY, WICHITA, KS 67214-1976
(316) 665-4427
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-12971
KS
1835N0905X
Nuclear Pharmacist
1-12971
KS
1835P2201X
Ambulatory Care Pharmacist
1-12971
KS
Other
Enumeration date
04/22/2017
Last updated
04/22/2017
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