Organization
KWIK SHOP INC
Active
Other names
Dillon Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
7107 W 37TH ST N, WICHITA, KS 67205-9360
(316) 721-5036
(316) 721-1705
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(620) 669-1894
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-10299
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200642750C
—
KS
01
—
2124705
PK
—
Enumeration date
05/04/2010
Last updated
05/16/2016
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