Medical Pharmacy Pa

LBN: Medical Pharmacy Pa
Medical Pharmacy Pa is an health care organization with primary practice located at 1100 Columbine Dr , Holton KS 66436-8841. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medical Pharmacy Pa can be contacted via phone (785) 364-2114, or through Gilliland, Joseph via phone (785) 364-2114.

Contact Information

Primary practice address
1100 Columbine Dr Holton KS 66436-8841
Phone: (785) 364-2114
Fax: (785) 364-4501
Website:
Map and Directions
Authorized official contact:
Name: Gilliland, Joseph
Phone: (785) 364-2114

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2-10232 Kansas

Profile Details

NPI number 1104873769
LBN Legal business name Medical Pharmacy Pa
DBA Doing business as Medical Pharmacy Pa
Authorized official Gilliland, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Jun 29th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104873769 NPPES
Other 2120416 PK
MEDICAID 200603920A PK

Popular Providers