Individual
MITCHELL DELUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
2003 E 1ST ST, PRATT, KS 67124-8460
(620) 672-7525
Mailing address
539 BELMONT RD, PRATT, KS 67124-1302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-104713
KS
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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