Individual
AILEY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
640 N WEST ST, WICHITA, KS 67203-1211
(316) 941-1928
Mailing address
640 N WEST ST, WICHITA, KS 67203-1211
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
1-16889
KS
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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