Individual
ADELINA MERRY TAN UYPECKCUAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10050 WOODLAND DR, LENEXA, KS 66220-3802
(913) 397-0906
Mailing address
10050 WOODLAND DR, LENEXA, KS 66220-3802
(913) 397-0906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15405
KS
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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