Ultrasource, Inc.

NPI #1861479586 in Wichita, Kansas

Provider Information

NPI Number: 1861479586
Entity Type: Organization
Organization Name: Ultrasource, Inc.
Primary Specialty: Pharmacist
Enumeration Date: Dec 22, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 2331 N BRANDON CIR
City: Wichita
State: Kansas
ZIP Code: 67226-4511
Phone: (316) 630-8170

Authorized Official

Name: MRS. JEANINE ANN BRIZENDINE, R.PH.
Title: PRESIDENT
Phone: (316) 630-8170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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