Individual
DOUGLAS HEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5701 SILVERHEEL ST, SHAWNEE, KS 66226-3910
(913) 535-5122
Mailing address
5701 SILVERHEEL ST, SHAWNEE, KS 66226-3910
(913) 535-5122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10-09965
KS
Other
Enumeration date
07/24/2014
Last updated
08/11/2014
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