Individual
ANDREA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1101 N ROCK RD, DERBY, KS 67037-3735
(316) 788-6669
(316) 788-3570
Mailing address
12813 W HENDRYX CT, WICHITA, KS 67235-1724
(316) 773-2467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10615
KS
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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