Organization
DEGOLER'S INC.
Active
Other names
DeGoler Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN HARTE (PRESIDENT)
(913) 596-2447
Entity
Organization
Contact information
Practice address
209B DELAWARE ST, LEAVENWORTH, KS 66048-2823
(913) 596-2447
(913) 428-4947
Mailing address
209-B DELAWARE ST., LEAVENWORTH, KS 66048
(913) 596-2447
(913) 428-4947
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-13172
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151689
PK
—
Enumeration date
05/01/2015
Last updated
05/01/2015
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