Organization
RICHARDSONS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN GERBER RPH (VICE PRES)
(316) 721-2626
Entity
Organization
Contact information
Practice address
3510 N RIDGE RD, STE 920, WICHITA, KS 67205-1224
(316) 721-2626
(316) 721-4823
Mailing address
3510 N RIDGE RD, STE 920, WICHITA, KS 67205-1224
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
209865
KS
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700598
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6014785701
—
KS
Enumeration date
04/25/2007
Last updated
09/12/2007
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