Individual
TANYA VIVIAN HOOGLUGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 OHIO ST, AUGUSTA, KS 67010-2157
(316) 775-5456
(316) 775-4108
Mailing address
1510 OHIO ST, AUGUSTA, KS 67010-2157
(316) 775-5456
(316) 775-4108
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
14-00713
KS
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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