Organization
MT OREAD PHARMACY LLC
Active
Other names
Jayhawk Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERICK W AXCELL PHARMD (PHARMACIST)
(785) 843-0111
Entity
Organization
Contact information
Practice address
3510 CLINTON PARKWAY PLACE, SUITE 220, LAWRENCE, KS 66047-2195
(785) 843-0111
(785) 843-3818
Mailing address
3510 CLINTON PARKWAY PLACE, SUITE 220, LAWRENCE, KS 66047-2195
(785) 843-0111
(785) 843-3818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
08834
KS
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100432770A
—
KS
Enumeration date
04/26/2007
Last updated
10/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us