Individual
CORRINE TRAVOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7619
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-16467
KS
183500000X
Pharmacist
Primary
18234
NV
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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