Individual
ASHLEY ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
1-16844
KS
183500000X
Pharmacist
2014028390
MO
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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