Individual
ROBERT HANEKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
31619 W LONGVIEW RD, SYLVIA, KS 67581-9275
(620) 486-2432
Mailing address
31619 W LONGVIEW RD, SYLVIA, KS 67581-9275
(620) 486-2432
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
1-09814
KS
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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