Organization
BRUNSWIG PHARMACY PA
Active
Other names
LONG TERM CARE SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BRUNSWIG (OWNER/PIC)
(620) 376-8649
Entity
Organization
Contact information
Practice address
401 S MAIN ST, SUITE A, SCOTT CITY, KS 67871-1267
(620) 872-7228
(620) 872-7260
Mailing address
401 S MAIN ST, SUITE A, SCOTT CITY, KS 67871-1267
(620) 872-7228
(620) 872-7260
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
210005
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1718610
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2006
Last updated
11/30/2012
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