Individual
JEREMI WHITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
422 BROADWAY AVE, TRIBUNE, KS 67879-7701
(620) 376-4224
Mailing address
PO BOX 687, TRIBUNE, KS 67879-0687
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13682
KS
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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