Individual
CANDACE QUAITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
15345 W 119TH ST, OLATHE, KS 66062-1074
(913) 393-4420
Mailing address
15345 W 119TH ST, OLATHE, KS 66062-1074
(913) 393-4420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-107046
KS
183500000X
Pharmacist
2022035895
MO
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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