Main Street Drug Pa in Osborne - Community/retail Pharmacy
Main Street Drug Pa - NPI 1104013713
Main Street Drug Pa is a Community/retail Pharmacy in Osborne, Kansas. Main Street Drug Pa practices all healthcare services and medical treatments related to Community/retail 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 | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 210144 |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2027814 | PK |
Post Comment/ Review Below
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 Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.
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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