Organization
GUARDIAN PHARMACY OF WICHITA, LLC
Active
Other names
Senior Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COUNTS (PRESIDENT)
(417) 894-8144
Entity
Organization
Contact information
Practice address
1402 S RIDGE RD, WICHITA, KS 67209-2908
(316) 945-7455
(316) 945-7457
Mailing address
1402 S RIDGE RD, WICHITA, KS 67209-2908
(316) 945-7455
(316) 945-7457
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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