# LAKIN DRUG, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakin Drug LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760267157
- **Authorized official:** TYSON MULLEN (OWNER/PHARMD)
- **Authorized official phone:** (620) 356-1446

## Contact information

- **Practice address:** 610 O'LOUGHLIN ST, LAKIN, KS 67860
- **Practice address phone:** (620) 355-8101
- **Practice address fax:** (620) 355-8105
- **Mailing address:** PO BOX 1084, LAKIN, KS 67860-1084
- **Mailing address phone:** (620) 356-1446
- **Mailing address fax:** (620) 356-5381

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2023
- **Last updated:** 08/25/2023