Individual
DOUGLAS MASCHINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20620 E 600 RD, PLEASANTON, KS 66075
(913) 352-8733
Mailing address
PO BOX 500, PLEASANTON, KS 66075-0500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-11224
KS
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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