Individual
JAY STADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2003 E 1ST ST, PRATT, KS 67124-8460
(620) 672-7525
Mailing address
3502 DOGWOOD DR, HUTCHINSON, KS 67502-3908
(620) 727-6508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13001
KS
Other
Enumeration date
06/14/2018
Last updated
11/29/2020
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