Organization
WALTERSCHEID PHARMACY INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
PETER WALTERSCHEID RPH (OWNER PHARMACIST)
(620) 251-2150
Entity
Organization
Contact information
Practice address
1001 W 11TH ST, COFFEYVILLE, KS 67337-4220
(620) 251-2150
(620) 251-0022
Mailing address
1001 W 11TH ST, COFFEYVILLE, KS 67337-4220
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
7829
KS
333600000X
Pharmacy
7829
KS
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247770A
—
OK
05
—
100443690A
—
KS
01
—
1714624
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/07/2023
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