Organization
HARRY EVERETT CORP
Active
Other names
OBRIEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA GAE EVERETT ANDERSEN RPH, CCN (OWNER)
(913) 322-0001
Entity
Organization
Contact information
Practice address
5453 W 61ST PL, MISSION, KS 66205-3002
(913) 322-0001
(913) 322-0002
Mailing address
5453 W 61ST PL, MISSION, KS 66205-3002
(913) 322-0001
(913) 322-0002
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
2-10030
KS
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2027796
PK
—
Enumeration date
10/12/2006
Last updated
05/10/2023
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