Organization
WOLKAR DRUG INC
Active
Other names
WOLKAR DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CASWELL RPH (PRESIDENT PHARMACIST IN CHARGE)
(620) 856-5555
Entity
Organization
Contact information
Practice address
1920 MILITARY AVE, BAXTER SPRINGS, KS 66713-2039
(620) 856-5555
(620) 856-3455
Mailing address
1920 MILITARY AVE, BAXTER SPRINGS, KS 66713-2039
(620) 856-5555
(620) 856-3455
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-13206
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231810A
—
OK
05
—
100436830A
—
KS
05
—
1053423905
—
MO
01
—
2030496
PK
—
05
—
600904403
—
MO
Enumeration date
08/31/2006
Last updated
12/13/2021
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