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Organization
SENIOR CARE SERVICES INC
Active
Organization
SENIOR CARE SERVICES INC
Active
Other names
SCP- PRAIRIE STAR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FRANKLIN HARRIS (GENERAL MANAGER)
(316) 945-7455
Entity
Organization
Contact information
Practice address
2700 E 30TH AVE STE A, HUTCHINSON, KS 67502-1242
(620) 802-0666
(620) 663-8890
Mailing address
1402 S RIDGE RD, WICHITA, KS 67209-2908
(316) 945-7455
(316) 945-7457
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
2-13175
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100459190C
—
KS
01
—
2152258
PK
—
Enumeration date
06/02/2015
Last updated
07/05/2016
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