Individual
RONALD WAYNE FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 E 23RD AVE, HUTCHINSON, KS 67502-1105
(620) 665-2101
Mailing address
413 WEST 6TH R.R.1, BUHLER, KS 67522
(620) 543-6729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9446
KS
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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