Provider Demographics
NPI:1043866254
Name:FLOERKE, AUBREY ANNA (PHARMD)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:ANNA
Last Name:FLOERKE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 N CRESTLINE DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-1663
Mailing Address - Country:US
Mailing Address - Phone:316-217-4084
Mailing Address - Fax:
Practice Address - Street 1:310 E 15TH ST
Practice Address - Street 2:
Practice Address - City:EUDORA
Practice Address - State:KS
Practice Address - Zip Code:66025-9540
Practice Address - Country:US
Practice Address - Phone:785-690-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-109543183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist