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Organization

MT OREAD PHARMACY LLC

Active
Parent organization
MT. OREAD PHARMACY, LLC
Other names
Jayhawk Pharmacy West LTC, Jayhawk Pharmacy LTC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MT. OREAD PHARMACY, LLC
Authorized official
ERICK W AXCELL PHARMD (OWNER)
(785) 843-0111
Entity
Organization

Contact information

Practice address
6265 ROCK CHALK DR STE 1401, LAWRENCE, KS 66049-5232
(785) 843-0455
(785) 424-7375
Mailing address
6265 ROCK CHALK DR STE 1401, LAWRENCE, KS 66049-5232
(785) 843-0455
(785) 424-7375

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
06/27/2023
Last updated
06/27/2023
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