Organization
SABETHA APOTHECARY LLC
Active
Other names
Sabetha Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
LEA WILLIAMS (OWNER)
(785) 300-0123
Entity
Organization
Contact information
Practice address
621 MAIN ST, SABETHA, KS 66534-1802
(785) 300-0123
Mailing address
621 MAIN ST, SABETHA, KS 66534-1802
(785) 300-0123
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
2-10412
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144122
PK
—
Enumeration date
02/04/2014
Last updated
02/04/2014
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