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Organization

VALLEY FALLS PHARMACY, LLC

Active
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Organization

VALLEY FALLS PHARMACY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANCE FREEMAN (OWNER)
(785) 945-3711
Entity
Organization

Contact information

Practice address
320 BROADWAY ST, VALLEY FALLS, KS 66088-1302
(785) 945-3711
(785) 945-6156
Mailing address
320 BROADWAY ST, VALLEY FALLS, KS 66088-1302
(785) 945-3711
(785) 945-6156

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
2-103438
KS
3336C0004X
Compounding Pharmacy
2-103438
KS
3336L0003X
Long Term Care Pharmacy
2-103438
KS
3336S0011X
Specialty Pharmacy
2-103438
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2-103438
STATE PHARMACY LICENSE
KS
05
201165780A
KS
Enumeration date
07/18/2017
Last updated
07/17/2026
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