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Individual

MATTHEW WAYNE MAHLANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3030 N ROCK RD, WICHITA, KS 67226-1309
(316) 636-4482
Mailing address
413 PARKWOOD DR, ROSE HILL, KS 67133-9578
(316) 519-4192

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100470
KS

Other

Enumeration date
12/19/2017
Last updated
12/19/2017
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