Organization
PRAIRIE VIEW INC.
Active
Other names
Prairie View Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOYCE ANNA MAY R.PH. (DIRECTOR OF PHARMACY)
(316) 284-6348
Entity
Organization
Contact information
Practice address
1901 E 1ST ST, NEWTON, KS 67114-5010
(316) 284-6348
(316) 284-6349
Mailing address
1901 E 1ST ST, PO BOX 467, NEWTON, KS 67114-5010
(316) 284-6348
(316) 284-6349
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
209698
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005670E
—
KS
01
—
1711452
NCPDP IDENTIFICATION
—
Enumeration date
10/26/2006
Last updated
07/19/2010
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