Organization
KINGMAN DRUG INC
Active
Other names
Kingman Drug Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CINDA NOLL GEESLING (MANAGER)
(620) 532-5113
Entity
Organization
Contact information
Practice address
211 N MAIN ST, KINGMAN, KS 67068-1334
(620) 532-5113
(620) 532-5431
Mailing address
211 N MAIN ST, KINGMAN, KS 67068-1334
(620) 532-5113
(620) 532-5431
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2-05357
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080410A
—
KS
01
—
2177514
PK
—
Enumeration date
05/08/2018
Last updated
05/08/2018
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