Individual
MALLORY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1108 E 1ST ST, PRATT, KS 67124-2060
(620) 672-5584
Mailing address
1108 E 1ST ST, PRATT, KS 67124-2060
(620) 672-5584
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16720
KS
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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