MEDICARE: DR. KATHRYN WENTHE 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
1	183500000X	Pharmacist	1-113931	KS

General Provider Information

NPI Number	:	1417787433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRYN WENTHE PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 404
Second Line	:
City	:	LUCAS
State	:	KS
Zip	:	67648-0404
Country	:	US
Telephone Number	:	785-324-2858
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 N SUMMIT ST
Second Line	:
City	:	ARKANSAS CITY
State	:	KS
Zip	:	67005-8813
Country	:	US
Telephone Number	:	620-442-2051
Fax Number	:

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

Provider Enumeration Date	:	08/05/2024
Last Update Date	:	08/05/2024

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