Individual
ROGER A. BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
116 E ROSS ST, CLEARWATER, KS 67026
(620) 584-2025
Mailing address
6657 ONEIL CT, WICHITA, KS 67212-6326
(316) 943-2069
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-08926
KS
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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