Individual
CONNIE VILLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11240 TUCKER RD, PLEASANTON, KS 66075-8402
(913) 352-8917
Mailing address
PO BOX 583, PLEASANTON, KS 66075-0583
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1400823
KS
Other
Enumeration date
11/01/2006
Last updated
01/01/2016
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