Organization
AUBURN PHARMACY, INC.
Active
Other names
AuBurn LTC Nevada #240
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BURNS (OWNER/CEO)
(785) 448-3600
Entity
Organization
Contact information
Practice address
125 S WASHINGTON ST, STE 200, NEVADA, MO 64772-3329
(417) 667-2500
(866) 955-8122
Mailing address
259 W PARK RD, GARNETT, KS 66032-1080
(417) 667-2500
(866) 955-8122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
2017042337
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2174644
PK
—
05
—
608510707
—
MO
Enumeration date
07/21/2006
Last updated
06/12/2020
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