Organization
KOLLHOFF FAMILY PHARMACY LLC
Active
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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