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Individual

COLBY L STUCKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
601 3RD PL, MANHATTAN, KS 66502-5908
(785) 587-8648
Mailing address
1920 VERMONT STREET, MANHATTAN, KS 66502
(785) 587-7039

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-114832
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-114832
I PUT IN MY PHARMACIST LICENSE NUMBER
KS
Enumeration date
06/28/2021
Last updated
06/28/2021
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