Organization
GATLIN FAMILY PHARMACY LLC
Active
Other names
Gatlin Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY GATLIN (OWNER/PIC)
(620) 770-8008
Entity
Organization
Contact information
Practice address
112 N MAIN ST, PRATT, KS 67124-1737
(620) 770-8008
(620) 508-6368
Mailing address
112 N. MAIN ST., PRATT, KS 67124-2113
(620) 770-8008
(620) 508-6368
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-101672
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170239
PK
—
Enumeration date
07/28/2017
Last updated
07/28/2017
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