Jayhawk Pharmacy
LBN: Mt Oread Pharmacy Llc
Jayhawk Pharmacy is an health care organization with primary practice located at 3510 Clinton Parkway Place Suite 220, Lawrence KS 66047-2195. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Mt Oread Pharmacy Llc can be contacted via phone (785) 843-0111, or through Axcell, Erick W via phone (785) 843-0111.
Contact Information
Primary practice address
3510 Clinton Parkway Place Suite 220
Lawrence KS 66047-2195
Phone: (785) 843-0111
Fax: (785) 843-3818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 08834 | Kansas |
| Suppliers / Pharmacy | 333600000X |
Profile Details
| NPI number | 1083834998 |
|---|---|
| LBN Legal business name | Mt Oread Pharmacy Llc |
| DBA Doing business as | Jayhawk Pharmacy |
| Authorized official | Axcell, Erick W PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Oct 9th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083834998 | NPPES |
| Kansas | MEDICAID | 100432770A |
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