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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KOURTNEY MAISOG

Active Sole Proprietor

Pharmacist · ELLSWORTH, KS

Registration Details

NPI Number
1487402632
Provider Type
Individual
Gender
Female
NPI Issued
May 10, 2024 (1.966669263477 yrs)
Last Updated
May 10, 2024
License
1-16719 (KS)
Sole Proprietor
Yes

Practice Information

Address
209 N DOUGLAS AVE
ELLSWORTH, KS, 674393215
Browse KS providers · Browse ZIP 67439
Phone
7854723131
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in ELLSWORTH, KS

Name Credential NPI
JENNIFER NEMNICH PHARMD 1083019632
KENZIE TORKELSON PHARMD 1487418893
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.