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NPI Code Detail

MEDICARE: KAREN KAY PONTIUS RPH

MEDICARE: KAREN KAY PONTIUS 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
1183500000XPharmacist1-10485KS

General Provider Information

NPI Number : 1376986570
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN KAY PONTIUS RPH
Provider Business Mailing Address
First Line : 217 HIGHLAND DR
Second Line :
City : ARKANSAS CITY
State : KS
Zip : 67005-3814
Country : US
Telephone Number : 620-442-7256
Fax Number :
Provider Business Practice Location Address
First Line : 201 S SUMMIT ST
Second Line :
City : ARKANSAS CITY
State : KS
Zip : 67005-2846
Country : US
Telephone Number : 620-442-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2013
Last Update Date : 04/08/2013

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Directions to “ KAREN KAY PONTIUS RPH” Practice Location

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