Organization
WEIMER DRUG CO., INC.
Active
Other names
PATTERSON HEALTH MART PHARMACY LINCOLN
Organization subpart
No
Provider details
NPI number
Authorized official
LINDY CLARK (DME BILLING ADMINISTRATOR)
(785) 632-3115
Entity
Organization
Contact information
Practice address
204 W LINCOLN AVE, LINCOLN, KS 67455-1920
(785) 524-4649
(785) 524-3402
Mailing address
422 LINCOLN AVE, CLAY CENTER, KS 67432-2908
(785) 632-3115
(785) 632-3777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2-13077
KS
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-13077
PHARMACY LICENSE
KS
Enumeration date
02/13/2015
Last updated
10/08/2020
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