Organization
KOLLHOFF FAMILY PHARMACY LLC
Active
Other names
Valley Falls Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KOLLHOFF (OWNER)
(855) 945-9451
Entity
Organization
Contact information
Practice address
320 BROADWAY ST, VALLEY FALLS, KS 66088-1302
(785) 945-3711
(785) 945-6156
Mailing address
320 BROADWAY ST, VALLEY FALLS, KS 66088-1302
(785) 945-3711
(785) 945-6156
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-12999
KS
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201083660A
—
KS
01
—
2141965
PK
—
Enumeration date
08/22/2013
Last updated
03/13/2015
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