Organization
JEFFERSON COUNTY MEMORIAL HOSPITAL FOUNDATION, INC.
Active
Other names
FW Huston Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA GIGSTAD (CHAIRMAN)
(913) 774-4340
Entity
Organization
Contact information
Practice address
509 DELAWARE STREET, OSKALOOSA, KS 66066
(785) 863-3401
(785) 863-3405
Mailing address
509 DELAWARE STREET, OSKALOOSA, KS 66066
(785) 863-3401
(785) 863-3405
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
209658
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100444240A
—
KS
Enumeration date
06/19/2006
Last updated
12/04/2014
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