Fredonia Pharmacy Inc

LBN: Fredonia Pharmacy Inc
Fredonia Pharmacy Inc is an health care organization with primary practice located at 628 Madison St , Fredonia KS 66736-1338. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Fredonia Pharmacy Inc can be contacted via phone (620) 378-4422, or through Edwards, Jacob via phone (620) 378-4422.

Contact Information

Primary practice address
628 Madison St Fredonia KS 66736-1338
Phone: (620) 378-4422
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Jacob
Phone: (620) 378-4422

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1366200586
LBN Legal business name Fredonia Pharmacy Inc
DBA Doing business as
Authorized official Edwards, Jacob
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2024
Last updated Mar 12th, 2024 - about 2 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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