Individual
JAY W MOUNKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 W 13TH ST N, WICHITA, KS 67203-3459
(316) 264-6189
Mailing address
333 W 13TH ST N, WICHITA, KS 67203-3459
(316) 264-6189
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10003
KS
Other
Enumeration date
04/16/2014
Last updated
09/01/2021
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