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NPI Code Detail

MEDICARE: DR. STEVEN WAYNE BLANNER PHARM.D.

MEDICARE: DR. STEVEN WAYNE BLANNER PHARM.D.
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
1183500000XPharmacist1-113626KS

General Provider Information

NPI Number : 1407848328
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN WAYNE BLANNER PHARM.D.
Provider Business Mailing Address
First Line : 215 S CEDAR ST
Second Line :
City : LINDSBORG
State : KS
Zip : 67456-2506
Country : US
Telephone Number : 785-227-2677
Fax Number :
Provider Business Practice Location Address
First Line : 400 S SANTA FE AVE
Second Line :
City : SALINA
State : KS
Zip : 67401-4144
Country : US
Telephone Number : 785-452-7160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 07/08/2007

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