Organization
DEFEVER OSBORN DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY D. DERRICK (PHARMACY MANAGER)
(620) 331-4200
Entity
Organization
Contact information
Practice address
205 N PENN AVE, INDEPENDENCE, KS 67301-3323
(620) 331-4200
(620) 331-8220
Mailing address
205 N PENN AVE, INDEPENDENCE, KS 67301-3323
(620) 331-4200
(620) 331-8220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
209687
KS
Other
Enumeration date
09/08/2005
Last updated
08/22/2020
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