Organization
KANSAS PALLIATIVE PHARMACY, LLC
Active
Other names
Kansas Palliative Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA SNYDER RPH (DIRECTOR OF PHARMACY SERVICES)
(316) 268-9441
Entity
Organization
Contact information
Practice address
313 S MARKET ST, WICHITA, KS 67202-3805
(316) 265-9441
(316) 265-8657
Mailing address
313 S MARKET ST, WICHITA, KS 67202
(316) 265-9441
(316) 265-8657
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
2-09405
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120851
PK
—
Enumeration date
07/07/2009
Last updated
12/21/2018
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