Individual
BAILIE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6110 W KELLOGG DR, WICHITA, KS 67209-2350
(316) 945-8181
(316) 945-8193
Mailing address
6110 W KELLOGG DR, ATTN: PHARMACY, WICHITA, KS 67209-2350
(316) 945-8181
(316) 945-8193
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16408
KS
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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