Individual
DR. CHRISTOPHER ALLEN MICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
202 N MAIN ST, CIMARRON, KS 67835-9759
(620) 855-2055
Mailing address
720 W 17TH STREET CT, NEWTON, KS 67114-1465
(316) 772-2994
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-102928
KS
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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