# BALL BROTHERS RX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Mulvane Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497376503
- **Authorized official:** CHADWICK L BALL PHARMD (OWNER/PIC)
- **Authorized official phone:** (316) 777-1601

## Contact information

- **Practice address:** 1008 SE LOUIS DR, MULVANE, KS 67110-1109
- **Practice address phone:** (316) 777-1601
- **Practice address fax:** (316) 777-1693
- **Mailing address:** 1008 SE LOUIS DR, MULVANE, KS 67110-1109
- **Mailing address phone:** (316) 777-1601
- **Mailing address fax:** (316) 777-1693

## Taxonomy

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

## Other

- **Enumeration date:** 04/29/2020
- **Last updated:** 05/13/2020