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1861479586
ULTRASOURCE, INC.
WICHITA, KS
NPI
1861479586
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Entity Type
Organization
Authorized Contact
JEANINE ANN BRIZENDINE
President
316-630-8170
Organization Subpart ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KS 10876)
Enumeration Date
2005-12-22
Last Update Date
2020-08-22
Business Address
ULTRASOURCE, INC.
2331 N BRANDON CIR
WICHITA, KS 67226-4511
Phone number: 316-630-8170
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Mailing Address
ULTRASOURCE, INC.
2331 N BRANDON CIR
WICHITA, KS 67226-4511
Phone number: 316-630-8170
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