# SENIOR RX CARE OF KANSAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SENIOR RX CARE OF KANSAS LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316107162
- **Authorized official:** MATTHEW HAYDEN (EXEC DIRECTOR)
- **Authorized official phone:** (785) 250-2920

## Contact information

- **Practice address:** 121 SE 6TH AVE STE 1, TOPEKA, KS 66603-3508
- **Practice address phone:** (877) 232-4601
- **Practice address fax:** (877) 234-1412
- **Mailing address:** 121 SE 6TH AVE STE 1, TOPEKA, KS 66603-3508
- **Mailing address phone:** (877) 232-4601
- **Mailing address fax:** (877) 234-1412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 210188 | KS | Yes |

## Other

- **Enumeration date:** 06/16/2008
- **Last updated:** 08/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200554760A | — | KS |
| 01 | — | 2027876 | PK | — |