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Organization

WEST WICHITA FAMILY PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN DARRAH (MANAGER)
(316) 491-6481
Entity
Organization

Contact information

Practice address
8200 W CENTRAL AVE STE 5, WICHITA, KS 67212-3661
(316) 491-6428
(316) 512-4001
Mailing address
8200 W CENTRAL AVE, WICHITA, KS 67212-9503
(316) 491-6428
(316) 512-4001

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201270110A
KS
Enumeration date
11/01/2018
Last updated
06/03/2025
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