Individual
SHELLEY TOPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3932 W 13TH ST N, WICHITA, KS 67203-4437
(316) 942-7636
Mailing address
3932 W 13TH ST N, WICHITA, KS 67203-4437
(316) 942-7636
(316) 941-0222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-12171
KS
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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