Organization
PARADISE ROOTS PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLEE SHAE LANDRETH PHARMD (OWNER)
(785) 259-7379
Entity
Organization
Contact information
Practice address
101 E MAIN ST, HILL CITY, KS 67642-1921
(785) 421-5632
(785) 421-5504
Mailing address
PO BOX 307, PLAINVILLE, KS 67663-0307
(785) 259-7379
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
10/07/2019
Last updated
02/20/2023
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