Provider Demographics
NPI:1932323623
Name:RICE, LATONYUA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LATONYUA
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8294
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-0294
Mailing Address - Country:US
Mailing Address - Phone:316-737-1854
Mailing Address - Fax:
Practice Address - Street 1:400 N WOODLAWN ST STE 15
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-4333
Practice Address - Country:US
Practice Address - Phone:316-737-1854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS11697183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist