Individual
AMY HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, BCGP
Contact information
Practice address
19512 W 97TH TER, LENEXA, KS 66220-3345
(913) 486-7487
Mailing address
19512 W 97TH TER, LENEXA, KS 66220-3345
(913) 486-7487
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
12466
KS
Other
Enumeration date
04/08/2018
Last updated
04/08/2018
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