Medical Pharmacy Pa

NPI 1104873769 - Pharmacy - 333600000X

NPI Details
NPI 1104873769
Enumeration Date 05/28/2006
Last Updated 06/17/2014
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Position OWNER
Phone (785) 364-2114
Fax (785) 364-4501
Practice Location
HOLTON KS, 66436-8841, US
Phone (785) 364-2114
Fax (785) 364-4501
Business Location
PO BOX 9830
SALT LAKE CITY UT, 84109-9830, US
Phone (877) 540-4748
Fax (801) 716-4824
Taxonomy Code 333600000X
License State
License Number
Remove 1104873769 NPI Number

According to our database, Medical Pharmacy Pa NPI is 1104873769, taxonomy code is 333600000X Medical Pharmacy Pa physically located at 1100 Columbine Dr, Holton KS, 66436-8841. NPI Number 1033115704 has the healthcare provider type.

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1104873769 NPI number is provided on an as is basis without warranty of any kind. 1104873769 is maintained by the National Plan & Provider Enumeration System. The contents of Medical Pharmacy Pa are for informational purposes only.