Organization
WALDRON PHARMACY, INC.
Active
Other names
WALDRONS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KENT WALDRON RPH (OWNER AND PRESIDENT)
(620) 492-3263
Entity
Organization
Contact information
Practice address
111 S MAIN, JOHNSON, KS 67855
(620) 492-3263
(620) 492-3318
Mailing address
PO BOX 579, JOHNSON, KS 67855-0579
(620) 492-3263
(620) 492-3318
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
209328
KS
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200419060A
—
KS
01
—
2026864
PK
—
05
—
25808729
—
CO
Enumeration date
12/27/2006
Last updated
12/29/2015
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