Individual
MR. DOUGLAS LLOYD FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4921 W 18TH ST, LAWRENCE, KS 66047-2090
(785) 830-0100
(785) 830-0115
Mailing address
1020 ELMHURST AVE, CONCORDIA, KS 66901
(785) 243-4414
(785) 243-1827
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10391
KS
Other
Enumeration date
06/13/2006
Last updated
10/24/2018
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