Organization
SENIOR RX CARE OF KANSAS LLC
Active
Other names
SENIOR RX CARE OF KANSAS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HAYDEN (EXEC DIRECTOR)
(785) 250-2920
Entity
Organization
Contact information
Practice address
121 SE 6TH AVE STE 1, TOPEKA, KS 66603-3508
(877) 232-4601
(877) 234-1412
Mailing address
121 SE 6TH AVE STE 1, TOPEKA, KS 66603-3508
(877) 232-4601
(877) 234-1412
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
210188
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200554760A
—
KS
01
—
2027876
PK
—
Enumeration date
06/16/2008
Last updated
08/14/2023
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