Individual
PHILLIP WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7620 STATE LINE RD, PRAIRIE VILLAGE, KS 66208-3705
(913) 383-8322
Mailing address
7620 STATE LINE RD, PRAIRIE VILLAGE, KS 66208-3705
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-12702
KS
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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