# AD ASTRA PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kellstrom Pharmacy, KELLSTROM PHARMACY LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144247651
- **Authorized official:** MILKA GOODLETT PHARM. D. (MANAGER/OWNER)
- **Authorized official phone:** (785) 776-1200

## Contact information

- **Practice address:** 1860 CLAFLIN RD, MANHATTAN, KS 66502-3413
- **Practice address phone:** (785) 776-1200
- **Practice address fax:** (785) 776-1115
- **Mailing address:** 1860 CLAFLIN RD, MANHATTAN, KS 66502
- **Mailing address phone:** (785) 776-1200
- **Mailing address fax:** (785) 776-1115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 1-11676 | KS | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 05/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201261060A | — | KS |
| 01 | — | 2027347 | PK | — |