Provider Demographics
NPI:1982766267
Name:PRYOR, GUDRUN (PHRAMD)
Entity Type:Individual
Prefix:DR
First Name:GUDRUN
Middle Name:
Last Name:PRYOR
Suffix:
Gender:F
Credentials:PHRAMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5324 SW REEDER ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-2095
Mailing Address - Country:US
Mailing Address - Phone:785-554-8747
Mailing Address - Fax:
Practice Address - Street 1:2860 SW MISSION WOODS DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5646
Practice Address - Country:US
Practice Address - Phone:785-228-9700
Practice Address - Fax:785-228-1375
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13894183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist