LARISSA LIES

WICHITA, KS
NPI1194113829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: KS  14884)
Enumeration Date2015-01-05
Last Update Date2015-01-05
Business Address
-- LARISSA LIES
4747 S BROADWAY ST
WICHITA, KS 67216-1739
Phone number: 316-524-4228
Mailing Address
-- LARISSA LIES
7818 W 19TH ST N
WICHITA, KS 67212-1496
Phone number: 316-524-4228
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