Organization
JAYHAWK CUSTOM PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CONLIN RPH. (OWNER PHARMACIST)
(785) 228-9740
Entity
Organization
Contact information
Practice address
6730 SW 29TH ST, TOPEKA, KS 66614-5650
(785) 228-9740
(785) 228-9745
Mailing address
6730 SW 29TH ST, TOPEKA, KS 66614-5650
(785) 228-9740
(785) 228-9745
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
2-09414
KS
3336C0004X
Compounding Pharmacy
2-09414
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-09414
STATE LICENSE NUMBER
KS
Enumeration date
10/04/2006
Last updated
09/11/2025
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