Individual
LAUREN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4107 10TH ST, GREAT BEND, KS 67530-3450
(620) 792-5944
Mailing address
4107 10TH ST, GREAT BEND, KS 67530-3450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16590
KS
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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