# AUBURN PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AuBurn LTC MC 125L, AuBurn LTC MC \#125L
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508332891
- **Authorized official:** MICHAEL W BURNS RPH (OWNER/CEO)
- **Authorized official phone:** (785) 448-3600

## Contact information

- **Practice address:** 625 MAIN ST, MOUND CITY, KS 66056-9100
- **Practice address phone:** (913) 795-4435
- **Practice address fax:** (913) 795-4437
- **Mailing address:** 625 MAIN ST, MOUND CITY, KS 66056-9100
- **Mailing address phone:** (913) 795-4435
- **Mailing address fax:** (913) 795-4437

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2018
- **Last updated:** 11/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201174430I | — | KS |
