Individual
KINGSLEY C UBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2229 N MAIZE RD, WICHITA, KS 67205-7301
(316) 721-3961
Mailing address
505 N ROCK RD, 1036, WICHITA, KS 67206-1743
(646) 642-2557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15999
KS
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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