PHIBUL UN

FORT LEAVENWORTH, KS
NPI1073273710
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: KS  1-11755)
Enumeration Date2021-12-22
Last Update Date2021-12-22
Business Address
MR. PHIBUL UN PHARMACIST
550 POPE AVE
FORT LEAVENWORTH, KS 66027-2332
Phone number: 913-684-6070
Mailing Address
MR. PHIBUL UN PHARMACIST
307 S 18TH ST
LEAVENWORTH, KS 66048-2219
Phone number: 913-240-1519