Individual
MARY ELAINE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15415 PINEHURST DR, BASEHOR, KS 66007-8237
(913) 724-3666
Mailing address
23088 WOODEND RD, TONGANOXIE, KS 66086-3327
(913) 634-0553
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11836
KS
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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