Most Relevant Information
Provider Data
| NPI Number: | 1003206442 |
| Provider Name: | KENT WALDRON RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 1-12675 |
Most Important Dates
| Enumeration Date: | 01/23/2015 |
| Last Updated: | 01/23/2015 |
Provider Practice Location
111 S. MAIN
JOHNSON
KS
678550579
Practice Location Phone/Fax
| Phone: | 6204923263 |
| Fax: | 6204923318 |
Provider Mailing Location
PO BOX 579
305 N PARK
JOHNSON
KS
678550579
Provider Mailing Phone/Fax
| Phone: | 6204923263 |
| Fax: | 6204923318 |