Individual
LAURA MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2700 S SANTA FE AVE, CHANUTE, KS 66720-3204
(620) 431-4064
(620) 431-6055
Mailing address
1 KENWOOD CIR, IOLA, KS 66749-1939
(620) 365-1612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13780
KS
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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