Organization
BALL BROTHERS RX, LLC
Active
Other names
The Mulvane Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHADWICK BALL (PHARMD)
(316) 777-1601
Entity
Organization
Contact information
Practice address
1008 SE LOUIS DR, MULVANE, KS 67110-1109
(316) 777-1601
(316) 777-1693
Mailing address
1008 SE LOUIS DR, MULVANE, KS 67110-1109
(316) 777-1601
(316) 777-1693
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-100824
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163996
PK
—
Enumeration date
09/15/2016
Last updated
09/15/2016
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