Individual
NICHOLAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 S BROADWAY BLVD, SALINA, KS 67401-4655
(785) 827-3974
Mailing address
16102 W 149TH TER, OLATHE, KS 66062-2676
(913) 593-4706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15953
KS
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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