Individual
MRS. DAVID ANDREW WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2915 SW GAGE BLVD, TOPEKA, KS 66614-2927
(785) 379-9506
Mailing address
2915 SW GAGE BLVD, TOPEKA, KS 66614-2927
(785) 379-9506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
08862
KS
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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