Organization
JEFFREY L MENZIE
Active
Other names
GRANT COUNTY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MENZIE RPH (OWNER)
(620) 356-1446
Entity
Organization
Contact information
Practice address
219 N MAIN ST, ULYSSES, KS 67880-2130
(620) 356-1446
(620) 356-5381
Mailing address
PO BOX 925, ULYSSES, KS 67880-0925
(620) 356-1446
(620) 356-5381
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
206795
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1705702
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/12/2006
Last updated
08/29/2011
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