Individual
DIVINE N CHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
15123 S OMC PKWY, OLATHE, KS 66061-7251
(913) 355-3946
Mailing address
15123 S OMC PKWY, OLATHE, KS 66061-7251
(913) 314-9839
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
1-16746
KS
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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