Individual
DALE HECKETHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3211 S SENECA ST, WICHITA, KS 67217-3348
(316) 522-4545
(316) 529-9013
Mailing address
3211 S SENECA ST, WICHITA, KS 67217-3348
(316) 522-4545
(316) 529-9013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11143
KS
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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