Individual
LAURIE SUE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
504 EAST WASHINGTON STREET, ARMA, KS 66712-0809
(620) 347-8311
(620) 347-8915
Mailing address
504 EAST WASHINGTON STREET, PO BOX 809, ARMA, KS 66712-0809
(620) 347-8311
(620) 347-8915
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12807
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200354140A
—
KS
05
—
200354140B
—
KS
05
—
606969608
—
MO
Enumeration date
08/20/2006
Last updated
07/09/2007
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