Organization
RAUCH MED-ECON PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KENT RAUCH (PRESIDENT/OWNER)
(620) 251-3533
Entity
Organization
Contact information
Practice address
1205 W 8TH ST, COFFEYVILLE, KS 67337-3505
(620) 291-3533
(620) 251-2069
Mailing address
1205 W 8TH ST, COFFEYVILLE, KS 67337-3505
(620) 291-3533
(620) 251-2069
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100437600A
—
KS
Enumeration date
07/19/2005
Last updated
07/21/2022
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