Organization
WEIMER DRUG CO., INC.
Active
Other names
Patterson Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT NOLAN PATTERSON RPH (OWNER)
(785) 632-3115
Entity
Organization
Contact information
Practice address
422 LINCOLN AVE, CLAY CENTER, KS 67432-2908
(785) 632-3115
(785) 632-3777
Mailing address
422 LINCOLN AVE, CLAY CENTER, KS 67432-2908
(785) 632-3115
(785) 632-3777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2-07255
KS
332BX2000X
Oxygen Equipment & Supplies (DME)
2-07255
KS
333600000X
Pharmacy
Primary
207255
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000010362
BCBS OF KS DME
KS
01
—
0000050410
BCBS OF KS PHARMACY
KS
05
—
100435190A
—
KS
05
—
100435190B
—
KS
01
—
1701831
NCPDP
KS
01
—
1821119306
NPI FOR DME
KS
01
—
KA1546
MEDICARE PTAN: KA1546 - WPS
KS
Enumeration date
06/10/2005
Last updated
10/08/2020
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