Organization
QUIER PHARMACY LLC
Active
Other names
Clearwater Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY PETERSON BRADFIELD (PRESIDENT)
(785) 466-6810
Entity
Organization
Contact information
Practice address
130 E ROSS ST STE 111, CLEARWATER, KS 67026-7833
(620) 584-3784
(620) 886-5517
Mailing address
PO BOX 349, MEDICINE LODGE, KS 67104-0349
(620) 875-1345
(620) 886-5517
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2-13234
KS
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201128690A
—
KS
01
—
2158321
PK
—
Enumeration date
02/26/2016
Last updated
11/22/2021
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