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Organization
GATLIN FAMILY PHARMACY LLC
Active
Organization
GATLIN FAMILY PHARMACY LLC
Active
Other names
Gatlin Medical Arts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ILEEEN GATLIN (OFFICE MANAGER)
(620) 672-7447
Entity
Organization
Contact information
Practice address
420 COUNTRY CLUB RD, PRATT, KS 67124-3125
(620) 672-7447
(620) 672-6236
Mailing address
420 COUNTRY CLUB RD, PRATT, KS 67124-3125
(620) 672-7447
(620) 672-6236
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992227854
PRIMARY NPI
KS
Enumeration date
03/23/2022
Last updated
03/23/2022
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