Individual
DR. JEFFERSON PONCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11021 SHAWNEE MISSION PKWY, SHAWNEE, KS 66203-3515
(913) 268-4980
(913) 268-4685
Mailing address
11021 SHAWNEE MISSION PKWY, SHAWNEE, KS 66203-3515
(913) 268-4980
(913) 268-4685
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-109217
KS
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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