Individual
ADELE BOTAN CHIMI-LAKBUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4016 W 95TH ST, PRAIRIE VILLAGE, KS 66207-2702
(913) 307-3057
Mailing address
1281 N MARTWAY DR APT 109, OLATHE, KS 66061-7047
(901) 220-8031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1100689
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
NONE
KS
Enumeration date
07/22/2020
Last updated
07/22/2020
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