Individual
MARC GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13415 W MAPLE ST, WICHITA, KS 67235-8729
(316) 729-5204
Mailing address
13415 W MAPLE ST, WICHITA, KS 67235-8729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11808
KS
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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