Organization
J C H CONSULTING INC
Active
Other names
HIBBARDS PRESCRIPTIONS PLUS
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HAGOOD (SECT AND TREAS OF JCH)
(620) 886-5161
Entity
Organization
Contact information
Practice address
126 N MAIN ST, MEDICINE LODGE, KS 67104
(620) 886-5161
(620) 886-5517
Mailing address
126 N. MAIN, MEDICINE LODGE, KS 67104
(620) 886-5161
(620) 886-5517
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
210402
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100445030A
—
KS
05
—
100445030B
—
KS
01
—
1704091
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/07/2006
Last updated
09/24/2012
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