Organization
CHASE COUNTY PHARMACY CORP
Active
Other names
Chase County Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE FREEMAN (OWNER)
(620) 220-6161
Entity
Organization
Contact information
Practice address
211 BROADWAY ST, COTTONWOOD FALLS, KS 66845-9728
(620) 220-6161
(620) 220-6162
Mailing address
PO BOX D, COTTONWOOD FALLS, KS 66845-0106
(620) 220-6161
(620) 220-6162
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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