Individual
PHUONG - VY NGOC LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10222 W 21ST ST N, WICHITA, KS 67205-1836
(316) 993-4615
Mailing address
2747 N BATTIN CT, WICHITA, KS 67220-2638
(316) 993-4615
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-102970
KS
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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