MEDICARE: DAVID ALAN DUNSHEE RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	1-12123	KS

General Provider Information

NPI Number	:	1467064006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ALAN DUNSHEE RPH

Provider Business Mailing Address
First Line	:	2229 S MAIN ST
Second Line	:
City	:	FORT SCOTT
State	:	KS
Zip	:	66701-3023
Country	:	US
Telephone Number	:	620-223-2402
Fax Number	:	620-223-4954

Provider Business Practice Location Address
First Line	:	2229 S MAIN ST
Second Line	:
City	:	FORT SCOTT
State	:	KS
Zip	:	66701-3023
Country	:	US
Telephone Number	:	620-223-2402
Fax Number	:	620-223-4954

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2020
Last Update Date	:	08/17/2020

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Directions to “ DAVID ALAN DUNSHEE RPH” Practice Location

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