# STAFFORD COUNTY DRUG

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184215113
- **Authorized official:** DR. LANCE FREEMAN (OWNER)
- **Authorized official phone:** (620) 377-5633

## Contact information

- **Practice address:** 329A N US HIGHWAY 281, ST JOHN, KS 67576-8309
- **Practice address phone:** (620) 377-5633
- **Mailing address:** PO BOX 247, ST JOHN, KS 67576-0247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2021
- **Last updated:** 07/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201170370A | — | KS |