Organization
ADVOCATE HEALTH SERVICES, INC.
Active
Other names
Amberwell Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BROCKHOFF (PRESIDENT)
(913) 360-5586
Entity
Organization
Contact information
Practice address
800 RAVENHILL DR , SUITE 101, ATCHISON, KS 66002-9204
(913) 367-1654
(913) 367-2589
Mailing address
800 RAVENHILL DR , SUITE 101, ATCHISON, KS 66002-9204
(913) 360-5586
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
10/17/2023
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