# KANSAS PALLIATIVE PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kansas Palliative Pharmacy, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568691939
- **Authorized official:** VICTORIA SNYDER RPH (DIRECTOR OF PHARMACY SERVICES)
- **Authorized official phone:** (316) 268-9441

## Contact information

- **Practice address:** 313 S MARKET ST, WICHITA, KS 67202-3805
- **Practice address phone:** (316) 265-9441
- **Practice address fax:** (316) 265-8657
- **Mailing address:** 313 S MARKET ST, WICHITA, KS 67202
- **Mailing address phone:** (316) 265-9441
- **Mailing address fax:** (316) 265-8657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | 2-09405 | KS | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/07/2009
- **Last updated:** 12/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2120851 | PK | — |