Individual
DOAN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1330 N WOODLAWN ST, WICHITA, KS 67208-2647
(316) 684-2828
Mailing address
1330 N WOODLAWN ST, WICHITA, KS 67208-2647
(316) 684-2828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-112947
KS
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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