Individual
ALEXA BROCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 W MAIN ST, LYONS, KS 67554-1708
(620) 509-2169
Mailing address
921 W MAIN ST, LYONS, KS 67554-1708
(620) 509-2169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-107022
KS
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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