Organization
JAYHAWK PHARMACY SERVICES AT MISSION WOODS INC
Active
Other names
Jayhawk Pharmacy & Patient Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CONLIN RPH (OWNER)
(785) 228-9700
Entity
Organization
Contact information
Practice address
2860 SW MISSION WOODS DR, TOPEKA, KS 66614-5646
(785) 228-9700
(785) 228-1375
Mailing address
2860 SW MISSION WOODS DR, TOPEKA, KS 66614-5646
(785) 228-9700
(785) 228-1375
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-09401
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100442610B
—
KS
05
—
100442610C
—
KS
01
—
1716248
NCPDP NUMBER
KS
01
—
2-09401
STATE PHARMACY LICENSE
KS
Enumeration date
06/24/2006
Last updated
04/19/2023
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