Individual
SHELBY SALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 E MAIN ST, CHANUTE, KS 66720-1844
(620) 431-9150
(620) 431-4969
Mailing address
103 E MAIN ST, CHANUTE, KS 66720-1844
(620) 431-9150
(620) 431-4969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100203
KS
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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