# GATLIN FAMILY PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Gatlin Medical Arts Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992227854
- **Authorized official:** MR. TERRY LYNN GATLIN RPH (OWNER/PHARMACIST)
- **Authorized official phone:** (620) 388-1258

## Contact information

- **Practice address:** 420 COUNTRY CLUB RD, PRATT, KS 67124-3125
- **Practice address phone:** (620) 672-7447
- **Practice address fax:** (620) 672-6236
- **Mailing address:** 420 COUNTRY CLUB RD, PRATT, KS 67124-3125
- **Mailing address phone:** (620) 672-7447
- **Mailing address fax:** (620) 672-6236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 2-101672 | KS | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2017
- **Last updated:** 05/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201168120A | — | KS |
| 01 | — | 7627490001 | PTAN DMEPOS | — |
| 01 | — | KA4364 | PTAN IMMUNIZATIONS | — |