Organization
PHARMACON DRUG
Active
Other names
Derby Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY P DAMM (PHARMACIST/OWNER)
(316) 788-5533
Entity
Organization
Contact information
Practice address
1101 N ROCK RD, DERBY, KS 67037-3735
(316) 788-6669
(316) 788-3570
Mailing address
1101 N ROCK RD, DERBY, KS 67037-3735
(316) 788-6669
(316) 788-3570
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7934
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100437990A
—
KS
Enumeration date
09/06/2006
Last updated
02/12/2008
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