Individual
AMANDA HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3150 S SENECA ST, WICHITA, KS 67217-3235
(316) 522-7489
Mailing address
3150 S SENECA ST, WICHITA, KS 67217-3235
(316) 522-7489
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100189
KS
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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