Individual
ABDI ISSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
301 W MAIN ST, INDEPENDENCE, KS 67301-3514
(620) 331-7594
Mailing address
301 W MAIN ST, INDEPENDENCE, KS 67301-3514
(620) 331-7594
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15001
KS
183500000X
Pharmacist
50761
TX
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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