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Organization
HUDSON HOLDINGS, INC.
Active
Organization
HUDSON HOLDINGS, INC.
Active
Other names
Preston Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JERRI M MCNAUGHT (DIRECTOR OF OPERATIONS)
(316) 265-3300
Entity
Organization
Contact information
Practice address
111 OAK ST, BONNER SPRINGS, KS 66012-1049
(913) 596-0159
(913) 596-0155
Mailing address
2622 W CENTRAL AVE, SUITE 302, WICHITA, KS 67203-4969
(316) 265-3300
(316) 265-3304
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
2102475
KS
3336L0003X
Long Term Care Pharmacy
Primary
210411
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100435330E
—
KS
05
—
100435330F
—
KS
01
—
2027795
PK
—
Enumeration date
10/19/2006
Last updated
04/24/2017
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