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Organization
HIDALGO COMPOUNDING LLC, DBA KING PHARMACY
Active
Organization
HIDALGO COMPOUNDING LLC, DBA KING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS R HIDALGO PHARMD (OWNER)
(785) 760-0292
Entity
Organization
Contact information
Practice address
1112 W 6TH ST STE 102, LAWRENCE, KS 66044-2249
(785) 843-4516
(785) 843-5723
Mailing address
1016 E 1500 RD, LAWRENCE, KS 66046-9267
(785) 760-0292
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
11/05/2025
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