Individual
STEPHANIE NICOLE FELLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
719 W 7TH AVE, AUGUSTA, KS 67010-1314
(316) 775-1168
Mailing address
7026 SW 50TH ST, EL DORADO, KS 67042-8916
(316) 207-2386
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-106183
KS
Other
Enumeration date
02/06/2025
Last updated
04/21/2025
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