Organization
AR - EX DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA J LOWDERMILK (SECRETARY TREASURER)
(785) 562-3196
Entity
Organization
Contact information
Practice address
801 BROADWAY, MARYSVILLE, KS 66508
(785) 562-3196
(785) 562-2340
Mailing address
801 BROADWAY, MARYSVILLE, KS 66508
(785) 562-3196
(785) 562-2340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
207380
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100434350A
—
KS
05
—
100434360A
—
KS
01
—
1704003
NCPDC
—
Enumeration date
10/25/2006
Last updated
07/01/2008
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