Individual
TIMOTHY ALAN VANSICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
2815 SW 29TH ST, TOPEKA, KS 66614-2002
(785) 272-0314
(785) 228-8518
Mailing address
2815 SW 29TH ST, TOPEKA, KS 66614-2002
(785) 272-0314
(785) 228-8518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-11385
KS
Other
Enumeration date
07/13/2014
Last updated
07/13/2014
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