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 10 years ago
Authorized Information
Name JOSEPH JOSEPH
Position OWNER
Phone (785) 364-2114
Fax (785) 364-4501
Practice Location
1100 COLUMBINE DR
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
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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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.