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Organization

PERINE ENTERPRISES INC.

Active
Parent organization
PERINE ENTERPRISES INC.
Other names
DOUG'S PHARMACY LTC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PERINE ENTERPRISES INC.
Authorized official
JASON JOHN PERINE PHARM.D (OWNER/PIC)
(785) 584-6722
Entity
Organization

Contact information

Practice address
430 MAIN ST, ROSSVILLE, KS 66533-9001
(785) 584-6722
(785) 584-6513
Mailing address
PO BOX 707, ROSSVILLE, KS 66533-0707
(785) 584-6722
(785) 584-6513

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100437350A
KS
Enumeration date
10/13/2021
Last updated
10/13/2021
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