Individual
ETHAN CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13600 S BLACKBOB RD, OLATHE, KS 66062-1934
(913) 782-2039
Mailing address
13600 S BLACKBOB RD, OLATHE, KS 66062-1934
(913) 782-2039
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-118275
KS
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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