Individual
BRETT DURINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 S 13TH ST, LEAVENWORTH, KS 66048-5581
(913) 290-7258
(913) 727-3241
Mailing address
5000 S 13TH ST, LEAVENWORTH, KS 66048-5581
(913) 290-7258
(913) 727-3241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041086
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041086
STATE OF MISSOURI LICENSE
MO
Enumeration date
02/17/2017
Last updated
02/17/2017
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