Wallace County Drug

LBN: Jsw, Llc
Wallace County Drug is an health care organization with primary practice located at 107 W 2Nd St , Sharon Springs KS 67758. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jsw, Llc can be contacted via phone (785) 852-4219, or through Whitham, Jeremi via phone (620) 376-4224.

Contact Information

Primary practice address
107 W 2Nd St Sharon Springs KS 67758
Phone: (785) 852-4219
Fax: (785) 852-4218
Website:
Map and Directions
Authorized official contact:
Name: Whitham, Jeremi
Phone: (620) 376-4224

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2-10374 Kansas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1447521224
LBN Legal business name Jsw, Llc
DBA Doing business as Wallace County Drug
Authorized official Whitham, Jeremi
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2012
Last updated Jan 13th, 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 1447521224 NPPES
Kansas MEDICAID 100438980C
Kansas Other 2133506

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