Organization
DOWNTOWN DRUGSTORE LLC
Active
Other names
The Downtown Drugstore LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH BREUER (OWNER/PIC)
(913) 369-3800
Entity
Organization
Contact information
Practice address
516 E 4TH ST, TONGANOXIE, KS 66086-8920
(913) 369-3800
(913) 369-3804
Mailing address
PO BOX 902, TONGANOXIE, KS 66086-0902
(913) 369-3800
(913) 369-3804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-10245
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120600
PK
—
Enumeration date
06/09/2009
Last updated
06/28/2016
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