Organization
CALDWELL PHARMACY INC
Active
Other names
Caldwell Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE FREEMAN (CO-OWNER)
(620) 886-5161
Entity
Organization
Contact information
Practice address
7 N MAIN ST, CALDWELL, KS 67022-1529
(620) 845-6916
(620) 845-6961
Mailing address
PO BOX 32, CALDWELL, KS 67022
(620) 845-6916
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-104125
KS
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171692
PK
—
Enumeration date
09/26/2017
Last updated
02/17/2021
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