Organization
WEIMER DRUG STORE, INC
Active
Other names
Patterson Daily Healthcare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY L GRUEN RPH (PIC AND MANAGER)
(785) 825-0778
Entity
Organization
Contact information
Practice address
685 LEWIS AVE, SALINA, KS 67401
(785) 825-0778
(785) 827-7415
Mailing address
685 LEWIS AVE, SALINA, KS 67401
(785) 825-0778
(785) 827-7415
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
2-13047
KS
3336L0003X
Long Term Care Pharmacy
Primary
2-13047
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-13047
KANSAS STATE PHARMACY LISCENSE
KS
Enumeration date
09/25/2014
Last updated
11/12/2014
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