Most Relevant Information
Provider Data
| NPI Number: | 1003586033 |
| Provider Name: | MICHAEL WING PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 2021034107 |
Most Important Dates
| Enumeration Date: | 09/20/2021 |
| Last Updated: | 09/20/2021 |
Provider Practice Location
1075 W SANTA FE ST
OLATHE
KS
660613115
Practice Location Phone/Fax
| Phone: | 9137645858 |
| Fax: |
Provider Mailing Location
16943 W 68TH ST APT 259
SHAWNEE
KS
662179670
Provider Mailing Phone/Fax
| Phone: | 8168535741 |
| Fax: |