Individual
BRIAN DEPPERSCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 N AMIDON AVE, WICHITA, KS 67203-2116
(316) 831-9567
Mailing address
2111 N AMIDON AVE, WICHITA, KS 67203-2116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15235
KS
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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