Kellstrom Pharmacy Ltc

LBN: Ad Astra Pharmacy Llc
Kellstrom Pharmacy Ltc is an health care organization with primary practice located at 1860 Claflin Rd , Manhattan KS 66502-3413. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Ad Astra Pharmacy Llc can be contacted via phone (785) 776-1200, or through Goodlett, Milka via phone (785) 776-1200.

Contact Information

Primary practice address
1860 Claflin Rd Manhattan KS 66502-3413
Phone: (785) 776-1200
Fax: (785) 776-1115
Website:
Map and Directions
Authorized official contact:
Name: Goodlett, Milka PHARM. D.
Phone: (785) 776-1200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 1-11676 Kansas

Profile Details

NPI number 1144247651
LBN Legal business name Ad Astra Pharmacy Llc
DBA Doing business as Kellstrom Pharmacy Ltc
Authorized official Goodlett, Milka PHARM. D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated May 24th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144247651 NPPES
Kansas MEDICAID 201261060A
Kansas Other 2027347

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