Organization
QCCOMPOUNDINGINC
Active
Other names
Hunters Ridge Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY HODGSON PHARMD (PHARMACIST IN CHARGE)
(785) 286-2557
Entity
Organization
Contact information
Practice address
3405 NW HUNTERS RIDGE TER STE 200, TOPEKA, KS 66618-2510
(785) 286-2557
(785) 286-2559
Mailing address
3405 NW HUNTERS RIDGE TER, SUITE 200, TOPEKA, KS 66618
(785) 286-2557
(785) 286-2559
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-10354
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200739140A
—
KS
01
—
2131299
PK
—
Enumeration date
07/28/2011
Last updated
07/19/2018
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