Organization
JAYHAWK PHARMACY SERVICES AT MISSION WOODS INC
Active
Other names
Jayhawk Patient Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CONLIN RPH (OWNER)
(785) 228-9700
Entity
Organization
Contact information
Practice address
2620 SW 6TH AVE, TOPEKA, KS 66606
(785) 235-9700
(785) 235-9703
Mailing address
2620 SW 6TH AVE, TOPEKA, KS 66606-1868
(785) 235-9700
(785) 235-9703
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
KS
332BC3200X
Customized Equipment (DME)
—
KS
332BN1400X
Nursing Facility Supplies (DME)
—
KS
332BX2000X
Oxygen Equipment & Supplies (DME)
—
KS
335E00000X
Prosthetic/Orthotic Supplier
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100442610C
—
KS
01
—
48444
BCBSKS
KS
Enumeration date
02/05/2008
Last updated
04/19/2023
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