Organization
WITMER DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAILEY IMM PHARMD (PIC)
(785) 543-2032
Entity
Organization
Contact information
Practice address
779 3RD ST, PHILLIPSBURG, KS 67661-1915
(785) 543-2032
(785) 543-2472
Mailing address
779 3RD ST, PHILLIPSBURG, KS 67661-1915
(785) 543-2032
(785) 543-2472
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8735
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100442530A
—
KS
Enumeration date
10/05/2006
Last updated
10/30/2025
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