Individual
MARK NOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
719 W 7TH AVE, AUGUSTA, KS 67010-1314
(316) 775-1168
Mailing address
719 W 7TH AVE, AUGUSTA, KS 67010-1314
(316) 775-1168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100068
KS
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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