Individual
MR. MICHAEL LEE DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3131 N TEE TIME, WICHITA, KS 67205-1938
(316) 518-0382
Mailing address
3131 N TEE TIME, WICHITA, KS 67205-1938
(316) 518-0382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-09950KS
KS
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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