# JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jane Phillips MedCare Pharmacy - Independence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225177140
- **Authorized official:** MS. SUSAN CLAIRE ROGERS (PHARMACY MANAGER)
- **Authorized official phone:** (620) 330-8282

## Contact information

- **Practice address:** 800 W LAUREL ST, INDEPENDENCE, KS 67301-3211
- **Practice address phone:** (620) 330-8282
- **Practice address fax:** (620) 330-8284
- **Mailing address:** 800 W LAUREL ST, INDEPENDENCE, KS 67301-3211
- **Mailing address phone:** (620) 330-8282
- **Mailing address fax:** (620) 330-8284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | 2-13218 | KS | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 06/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100099630F | — | KS |