Organization
JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC
Active
Other names
Jane Phillips MedCare Pharmacy - Independence
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN CLAIRE ROGERS (PHARMACY MANAGER)
(620) 330-8282
Entity
Organization
Contact information
Practice address
800 W LAUREL ST, INDEPENDENCE, KS 67301-3211
(620) 330-8282
(620) 330-8284
Mailing address
800 W LAUREL ST, INDEPENDENCE, KS 67301-3211
(620) 330-8282
(620) 330-8284
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
2-13218
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100099630F
—
KS
Enumeration date
02/06/2007
Last updated
06/28/2016
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