MARY NIKOULA
Individual Provider (NPI-1)
Active
Pharmacy, Community/Retail Pharmacy
Provider Information
- NPI Number
1649095183- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2014 W 21ST ST N, WICHITA, KS, 672032107
- Phone
- (316) 821-9678
Specialties & Taxonomies
Pharmacy, Community/Retail Pharmacy
Primary License: KS #1-120395