Individual
KRISTY TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 N NELSON DR, DERBY, KS 67037-2572
(316) 788-3731
Mailing address
11708 W RYAN PL, WICHITA, KS 67205-2190
(404) 725-1988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100050
KS
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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