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NPI Code Detail

MEDICARE: LAURA WICHERN PHARMD

MEDICARE: LAURA WICHERN PHARMD
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
1183500000XPharmacist1-16795KS

General Provider Information

NPI Number : 1043689482
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA WICHERN PHARMD
Provider Business Mailing Address
First Line : 1001 SW TOPEKA BLVD
Second Line :
City : TOPEKA
State : KS
Zip : 66612-1601
Country : US
Telephone Number : 785-354-1470
Fax Number :
Provider Business Practice Location Address
First Line : 1001 SW TOPEKA BLVD
Second Line :
City : TOPEKA
State : KS
Zip : 66612-1601
Country : US
Telephone Number : 785-354-1470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2015
Last Update Date : 09/16/2015

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Directions to “ LAURA WICHERN PHARMD” Practice Location

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