TAMBOUE ESAIE DEFFO

OLATHE, KS
NPI1952882094
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: KS  11652)
Enumeration Date2018-08-27
Last Update Date2018-08-27
Business Address
TAMBOUE ESAIE DEFFO PhD,RPh
13600 S ALDEN ST
OLATHE, KS 66062-5829
Phone number: 913-539-8300
Mailing Address
TAMBOUE ESAIE DEFFO PhD,RPh
5311 HALLET ST
SHAWNEE, KS 66216-5147
Phone number: 913-575-3414