Individual
OANH VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9450 E HARRY ST, WICHITA, KS 67207-5074
(316) 687-0709
(316) 651-2726
Mailing address
9450 E HARRY ST, WICHITA, KS 67207-5074
(316) 687-0709
(316) 651-2726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-12507
KS
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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