Individual
MR. COREY PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1701 E 23RD AVE, HUTCHINSON, KS 67502-1105
(620) 665-2101
Mailing address
1701 E 23RD AVE, HUTCHINSON, KS 67502-1105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-12658
KS
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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