Destry Bryan

NPI #1407345333 in Atchison, Kansas

Provider Information

NPI Number: 1407345333
Entity Type: Individual
Name: Destry Bryan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: May 7, 2018
Last Updated: May 7, 2018

Practice Location

Address: 1920 HIGHWAY 73
City: Atchison
State: Kansas
ZIP Code: 66002-5102
Phone: (913) 367-6142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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