# SCOTT CITY PHARMACY CHARTERED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Scott City Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255914180
- **Authorized official:** DR. JONATHAN WAYNE BRUNSWIG PHARMD (OWNER/PIC)
- **Authorized official phone:** (620) 214-1160

## Contact information

- **Practice address:** 102 ALBERT AVE, SCOTT CITY, KS 67871-7102
- **Practice address phone:** (620) 872-2146
- **Practice address fax:** (620) 872-7099
- **Mailing address:** 102 ALBERT AVE, SCOTT CITY, KS 67871-7102
- **Mailing address phone:** (620) 872-2146
- **Mailing address fax:** (620) 872-7099

## Taxonomy

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

## Other

- **Enumeration date:** 04/29/2021
- **Last updated:** 06/03/2024