MEDICARE: DR. GUDRUN PRYOR PHRAMD

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	13894	KS

General Provider Information

NPI Number	:	1982766267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUDRUN PRYOR PHRAMD

Provider Business Mailing Address
First Line	:	5324 SW REEDER ST
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66604-2095
Country	:	US
Telephone Number	:	785-554-8747
Fax Number	:

Provider Business Practice Location Address
First Line	:	2860 SW MISSION WOODS DR
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66614-5646
Country	:	US
Telephone Number	:	785-228-9700
Fax Number	:	785-228-1375

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

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	07/08/2007

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