Individual
CHELSEA MIKULECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3707 N WOODLAWN BLVD, WICHITA, KS 67220-2222
(316) 691-9134
Mailing address
3707 N WOODLAWN BLVD, WICHITA, KS 67220-2222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100196
KS
183500000X
Pharmacist
1100196
KS
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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