Organization
HAYS MEDICAL CENTER INC
Active
Other names
MEDICAL PAVILION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD HERRMAN (PRES/CEO)
(785) 623-5000
Entity
Organization
Contact information
Practice address
2214 CANTERBURY DR, HAYS, KS 67601-2386
(785) 650-2789
(785) 623-5087
Mailing address
2214 CANTERBURY DR, HAYS, KS 67601
(785) 650-2789
(785) 623-5087
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-09749
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100009290A
—
KS
05
—
100009290B
—
KS
01
—
2026886
PK
—
Enumeration date
01/23/2007
Last updated
07/19/2018
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