Individual
AMBER THIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 ON THE MALL, PRAIRIE VILLAGE, KS 66208-2606
(913) 362-3100
Mailing address
25 ON THE MALL, PRAIRIE VILLAGE, KS 66208-2606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117061
KS
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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