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Organization

PHARMACY ALTERNATIVES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
(502) 394-2100
Entity
Organization

Contact information

Practice address
7953 BOND ST, LENEXA, KS 66214-1557
(502) 817-8620
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5638420007
MEDICARE PART B PTAN
KS
Enumeration date
12/26/2013
Last updated
01/12/2015
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