Mulvane Pharmacy Inc

LBN: Mulvane Pharmacy Inc
Mulvane Pharmacy Inc is an health care organization with primary practice located at 1008 Se Louis Dr , Mulvane KS 67110-1109. 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. Mulvane Pharmacy Inc can be contacted via phone (316) 777-1601, or through Richardson, Terry via phone (316) 777-1601.

Contact Information

Primary practice address
1008 Se Louis Dr Mulvane KS 67110-1109
Phone: (316) 777-1601
Fax: (316) 777-1693
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Terry
Phone: (316) 777-1601

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2-09870 Kansas

Profile Details

NPI number 1134206006
LBN Legal business name Mulvane Pharmacy Inc
DBA Doing business as Mulvane Pharmacy Inc
Authorized official Richardson, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Nov 13th, 2014 - about 12 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 1134206006 NPPES
Other 2031127 PK
MEDICAID 100437630A PK
MEDICAID 00437630A PK

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