Organization
HUTCHINSON CLINIC P A INC
Active
Other names
Hutchinson Clinic Pharmacy on Main LTC
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE Y. ONTJES RPH (DIRECTOR OF PHARMACY)
(620) 663-9542
Entity
Organization
Contact information
Practice address
2101 N WALDRON ST STE A, HUTCHINSON, KS 67502-1131
(620) 663-9542
(620) 694-4281
Mailing address
1100 N MAIN ST STE A, HUTCHINSON, KS 67501-4406
(620) 669-6600
(620) 669-6601
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003360F
—
KS
Enumeration date
12/19/2019
Last updated
07/29/2020
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