Individual
MISHAWN AUDRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
6110 W KELLOGG DR, WICHITA, KS 67209-2361
(316) 945-8181
Mailing address
13333 E TALLOWOOD CT, WICHITA, KS 67230-1709
(316) 644-8123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16753
KS
Other
Enumeration date
07/12/2015
Last updated
07/12/2015
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