Individual
MARK DEMANE SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1445 S MAIN ST, OTTAWA, KS 66067-3528
(785) 242-4745
Mailing address
3915 BELLFLOWER ST, LAWRENCE, KS 66049-7833
(785) 224-7647
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14366
KS
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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