Individual
THUY LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 N WOODLAWN BLVD, WICHITA, KS 67220-2222
(316) 519-1794
Mailing address
755 S PECKHAM CT, WICHITA, KS 67230-1902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100467
KS
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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