Main Street Drug Pa in Osborne - Pharmacy

Main Street Drug Pa - NPI 1104013713

Main Street Drug Pa is a Pharmacy in Osborne, Kansas. Main Street Drug Pa practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Main Street Drug Pa is 1104013713. The last update date is 2017-03-23.

Main Street Drug Pa's current location address is 103 W Main St, Osborne, Kansas. You can contact this provider via phone number 7853462136 and fax number 7853465898. The mailing address for Main Street Drug Pa is 103 W Main St, Osborne, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Main Street Drug Pa
Address 103 W Main St, Osborne, Kansas
Phone Number 7853462136
Fax Number 7853465898
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHRMD
Authorized Official Name Heller Kaylene
Telephone Number 7853462136

NPI Number Detail

NPI Number 1104013713
Provider Enumeration Date 2007-09-27
Last Updated Date 2017-03-23

Provider Mailing Address Detail

Address 103 W Main St
City Osborne
State Kansas (KS)
Post Code 674732402
Phone Number 7853462136
Fax Number 7853465898

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2027814 PK

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FAQs about Main Street Drug Pa

What is the unique 10-digit identifier code issued to Main Street Drug Pa by the Centers for Medicare & Medicaid Services?

The Main Street Drug Pa has been assigned the NPI (National Provider Identifier) 1104013713 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Main Street Drug Pa?

The Main Street Drug Pa is physically situated at 103 W Main St, in the city of Osborne, state of KS, with the postal code 674732402.

What is Main Street Drug Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Main Street Drug Pa is Pharmacy, and the corresponding taxonomy classification code for this specialized field is 333600000X.

On what date did the Main Street Drug Pa receive the assignment of its 1104013713 from the Centers for Medicare & Medicaid Services?

The Main Street Drug Pa was issued its 1104013713 by the Centers for Medicare & Medicaid Services on 2007-09-27.

As of what date were the Main Street Drug Pa's details last updated?

The information pertaining to the Main Street Drug Pa, including its address, specialty, and other details, was most recently updated on 2017-03-23.

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