Organization
MEDICAL CENTER PHARMACY INC.
Active
Organization
MEDICAL CENTER PHARMACY INC.
Active
Other names
Moundridge Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN KEITH SCHOOLER RPH (SECRETARY)
(620) 345-8650
Entity
Organization
Contact information
Practice address
200 E. PACK, MOUNDRIDGE, KS 67107
(620) 345-8650
(620) 345-6312
Mailing address
PO BOX 318, MOUNDRIDGE, KS 67107-0318
(620) 345-8650
(620) 345-6312
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
209792
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100437680A
—
KS
01
—
1714826
NCPDP
KS
Enumeration date
08/02/2006
Last updated
11/19/2008
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