# MT OREAD PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MT. OREAD PHARMACY, LLC
- **Other names:** Jayhawk Pharmacy West LTC, Jayhawk Pharmacy LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386320885
- **Legal business name:** MT. OREAD PHARMACY, LLC
- **Authorized official:** ERICK W AXCELL PHARMD (OWNER)
- **Authorized official phone:** (785) 843-0111

## Contact information

- **Practice address:** 6265 ROCK CHALK DR STE 1401, LAWRENCE, KS 66049-5232
- **Practice address phone:** (785) 843-0455
- **Practice address fax:** (785) 424-7375
- **Mailing address:** 6265 ROCK CHALK DR STE 1401, LAWRENCE, KS 66049-5232
- **Mailing address phone:** (785) 843-0455
- **Mailing address fax:** (785) 424-7375

## Taxonomy

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

## Other

- **Enumeration date:** 06/27/2023
- **Last updated:** 06/27/2023