Organization
ASSURED PHARMACY KANSAS INC
Active
Other names
Cordant Pharmacy #9
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY DONAT JD (CHIEF COMPLIANCE OFFICER)
(303) 749-0490
Entity
Organization
Contact information
Practice address
11100 ASH ST STE 200, LEAWOOD, KS 66211-1732
(844) 848-5955
Mailing address
12015 E 46TH AVE, STE. 650, DENVER, CO 80239-3116
(303) 749-0490
(720) 536-4826
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-13181
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132256
PK
—
05
—
912103004
—
KS
Enumeration date
10/10/2011
Last updated
08/26/2016
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