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Organization
HARRY EVERETT CORP
Active
Organization
HARRY EVERETT CORP
Active
Other names
OBRIEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA GAE EVERETT ANDERSEN RPH, CCN (OWNER)
(913) 322-0001
Entity
Organization
Contact information
Practice address
5453 W 61ST PL, MISSION, KS 66205-3002
(913) 322-0001
(913) 322-0002
Mailing address
5453 W 61ST PL, MISSION, KS 66205-3002
(913) 322-0001
(913) 322-0002
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
2-10030
KS
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2027796
PK
—
Enumeration date
10/12/2006
Last updated
05/10/2023
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