JENNIFER PHETSAMONE PHACHANTRY

WICHITA, KS
NPI1851997910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: KS  1-109697)
Enumeration Date2020-12-04
Last Update Date2020-12-04
Business Address
JENNIFER PHETSAMONE PHACHANTRY PharmD
550 N HILLSIDE ST STE 3-100
WICHITA, KS 67214-4910
Phone number: 316-962-4210
Mailing Address
JENNIFER PHETSAMONE PHACHANTRY PharmD
550 N HILLSIDE ST STE 3-100
WICHITA, KS 67214-4910
Phone number: 316-962-4210