Individual
FERN L REED ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
10 W 15TH ST, LIBERAL, KS 67901-2445
(620) 624-5334
(620) 624-5096
Mailing address
HC 65 BOX 165, CANTON, OK 73724-9401
(580) 886-3367
(580) 886-3367
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15083
KS
183500000X
Pharmacist
9677
OK
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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