Individual
MARK A LAHASKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4200 W KELLOGG DR, WICHITA, KS 67209-2269
(316) 942-8253
Mailing address
4200 W KELLOGG DR, WICHITA, KS 67209-2269
(316) 942-8253
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11151
KS
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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