Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Phog Allen Charles Pywell, PHARMD

Individual provider Pharmacist · NPI 1104641679

Dr. Phog Allen Charles Pywell, PHARMD is a Pharmacist in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2024.

Licensed in
KS
In the registry since
2024
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

550 N Hillside St
Wichita, KS 67214-4976
Phone: (316) 962-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 1-105405 (KS)

Record details

NPI number1104641679
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedNovember 20, 2024
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

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