Healthcare Provider Details

I. General information

NPI: 1982766267
Provider Name (Legal Business Name): GUDRUN PRYOR PHRAMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2860 SW MISSION WOODS DR
TOPEKA KS
66614-5646
US

IV. Provider business mailing address

5324 SW REEDER ST
TOPEKA KS
66604-2095
US

V. Phone/Fax

Practice location:
  • Phone: 785-228-9700
  • Fax: 785-228-1375
Mailing address:
  • Phone: 785-554-8747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13894
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: