Individual
TERICA LEA GATEWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM-D
Contact information
Practice address
3696 SW TOPEKA BLVD, TOPEKA, KS 66611-2373
(785) 266-4520
Mailing address
1628 NW 33RD PL, TOPEKA, KS 66618-1437
(785) 266-4520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14112
KS
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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