Organization
PIERSON HANOVER PROFESSIONAL PHARMACY
Active
Other names
PIERSON HANOVER PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE PIERSON BS PHARMACY (OWNER)
(785) 337-2241
Entity
Organization
Contact information
Practice address
103 W NORTH ST, HANOVER, KS 66945-9065
(785) 337-2241
(785) 337-2202
Mailing address
103 W NORTH ST, HANOVER, KS 66945
(785) 337-2241
(785) 337-2202
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-06419
KS
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100445300A
—
KS
01
—
2031023
PK
—
Enumeration date
08/18/2006
Last updated
07/19/2018
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