Individual
DR. DAT TIEN NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3770 N WOODLAWN BLVD, WICHITA, KS 67220-2220
(316) 684-2828
Mailing address
3770 N WOODLAWN BLVD, WICHITA, KS 67220-2220
(316) 686-1838
(316) 686-1312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-103819
KS
Other
Enumeration date
11/09/2021
Last updated
11/24/2021
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