Individual
MELANIE SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13450 S BLACKBOB RD, OLATHE, KS 66062-1503
(913) 829-3176
Mailing address
13450 S BLACKBOB RD, OLATHE, KS 66062-1503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16672
KS
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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