ASCENSION MEDICAL GROUP VIA CHRISTI, PA
3311 E Murdock St
Wichita, KS 67208
316-274-8280
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | KS | 2-10323 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
200726520A | KS | MEDICAID | |
PK | 2132798 | OTHER |