Organization
GUYLL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL G GUYLL RPH (PRESIDENT)
(620) 331-0036
Entity
Organization
Contact information
Practice address
400 N PENN AVE, INDEPENDENCE, KS 67301-3012
(620) 331-0036
(620) 331-0593
Mailing address
400 N PENN AVE, INDEPENDENCE, KS 67301-3012
(620) 331-0036
(620) 331-0593
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
7905
KS
3336C0003X
Community/Retail Pharmacy
—
KS
3336L0003X
Long Term Care Pharmacy
Primary
7905
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100439760A
—
KS
01
—
1714701
NCPDP #
KS
Enumeration date
02/28/2006
Last updated
03/07/2023
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