Organization
DEP,INC.
Active
Organization
DEP,INC.
Active
Parent organization
DEP, INC
Other names
The Medicine Shoppe #1293
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEP, INC
Authorized official
MRS. EVELYN PISTOLE (OWNER)
(620) 231-3410
Entity
Organization
Contact information
Practice address
2409 N BROADWAY ST, PITTSBURG, KS 66762-2618
(620) 231-3410
(620) 231-3810
Mailing address
2409 N BROADWAY ST, PITTSBURG, KS 66762-2618
(620) 231-3410
(620) 231-3810
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-08392
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100445440A
—
KS
01
—
1704825
NCPDP
KS
05
—
608257309
—
MO
Enumeration date
11/30/2006
Last updated
08/16/2010
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