Organization
PHARMACY CARE PA
Active
Other names
Main Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA GALES PHARM D (PRESIDENT/OWNER)
(620) 582-2134
Entity
Organization
Contact information
Practice address
113 E. MAIN, COLDWATER, KS 67029-0236
(620) 582-2134
(620) 582-2920
Mailing address
PO BOX 236, 113 E. MAIN, COLDWATER, KS 67029-0236
(620) 582-2134
(620) 582-2920
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-09647
KS
3336C0004X
Compounding Pharmacy
2-09647
KS
3336H0001X
Home Infusion Therapy Pharmacy
2-09647
KS
3336L0003X
Long Term Care Pharmacy
2-09647
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100445020A
—
KS
01
—
1701920
NABP
KS
01
—
2-09647
PHARMACY LICENSE
KS
Enumeration date
07/31/2006
Last updated
08/04/2015
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