Organization
EL DORADO PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RAY BELLESINE RPH (OWNER)
(316) 321-5330
Entity
Organization
Contact information
Practice address
205 N VINE ST, EL DORADO, KS 67042-2055
(316) 321-5330
(316) 321-1254
Mailing address
205 N VINE ST, EL DORADO, KS 67042-2055
(316) 321-5330
(316) 321-1254
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/01/2017
Last updated
07/21/2022
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