Individual
MATTHEW S RICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
601 MAIN ST, WELLSVILLE, KS 66092-9201
(785) 883-2462
Mailing address
5006 ROSEHILL DR, SHAWNEE, KS 66216-1258
(620) 440-1423
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16707
KS
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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