Organization
FRAESE DRUG COMPANY INC
Active
Other names
FRAESE DRUG and Soda Fountain Grill
Organization subpart
No
Provider details
NPI number
Authorized official
DON KAUFMAN RPH (OWNER/PRESIDENT)
(620) 622-4477
Entity
Organization
Contact information
Practice address
25 N MAIN ST, HUTCHINSON, KS 67501-5216
(620) 662-4498
Mailing address
PO BOX 2458, HUTCHINSON, KS 67504-2458
(620) 200-9325
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
210387
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100436240A
—
KS
01
—
2032542
PK
—
Enumeration date
06/08/2005
Last updated
04/28/2016
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