Individual
LISA SORELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 HUEBNER RD, FT RILEY, KS 66442-4030
(785) 239-7619
Mailing address
650 HUEBNER RD, FT RILEY, KS 66442-4030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-11527
KS
Other
Enumeration date
05/19/2015
Last updated
05/06/2017
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