Individual
THANE M VANEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 EAST CENTRAL, WICHITA, KS 67208
(316) 682-2999
(316) 682-4515
Mailing address
3333 EAST CENTRAL, WICHITA, KS 67208
(316) 682-2999
(316) 682-4515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13678
KS
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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