# LYON PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lyons Pharmacy LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619734720
- **Authorized official:** LANCE MICHAEL FREEMAN (OWNER)
- **Authorized official phone:** (620) 509-2169

## Contact information

- **Practice address:** 921 W MAIN ST, LYONS, KS 67554-1708
- **Practice address phone:** (620) 509-2169
- **Practice address fax:** (620) 509-2184
- **Mailing address:** PO BOX 167, LYONS, KS 67554-0167
- **Mailing address phone:** (620) 509-2169
- **Mailing address fax:** (620) 509-2184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/05/2024
- **Last updated:** 07/17/2026