Individual
TRACI L EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
3401 SW 21ST ST, TOPEKA, KS 66604-3302
(785) 350-3723
Mailing address
1896 E 850TH RD, LECOMPTON, KS 66050-4061
(785) 887-6862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-11800
KS
Other
Enumeration date
05/01/2006
Last updated
07/21/2008
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