Organization
GREENHAW PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA GREENHAW (OWNER)
(620) 947-3784
Entity
Organization
Contact information
Practice address
508 S ASH ST, HILLSBORO, KS 67063-1559
(620) 947-3784
(620) 947-2801
Mailing address
508 S ASH ST, PO BOX 188, HILLSBORO, KS 67063-1559
(620) 947-3784
(620) 947-2801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1-13638
KS
3336C0003X
Community/Retail Pharmacy
Primary
1-13638
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100441080A
—
KS
05
—
100441080B
—
KS
05
—
200406440A
—
KS
05
—
200406440B
—
KS
Enumeration date
07/23/2008
Last updated
07/23/2008
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