# EL DORADO PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518485234
- **Authorized official:** MICHAEL RAY BELLESINE RPH (OWNER)
- **Authorized official phone:** (316) 321-5330

## Contact information

- **Practice address:** 205 N VINE ST, EL DORADO, KS 67042-2055
- **Practice address phone:** (316) 321-5330
- **Practice address fax:** (316) 321-1254
- **Mailing address:** 205 N VINE ST, EL DORADO, KS 67042-2055
- **Mailing address phone:** (316) 321-5330
- **Mailing address fax:** (316) 321-1254

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2017
- **Last updated:** 07/21/2022