NPI 1104191469

Elaine Carol Clancy, RPH

Practitioner Pharmacist Lenexa, KS

Practice location

Address: 11162 Renner Blvd, Lenexa, KS 66219-9621
Phone: (800) 360-0520
Mailing address: 34536 W 83rd Ter, De Soto, KS 66018-8452

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 1-11647 (KS)

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Registry record

NPI: 1104191469
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2012
Record last updated: 19 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.