Organization
GREENHAW PHARMACY, INC
Active
Other names
Hillsboro Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DRIGGERS PHARMD (PRESIDENT, OWNER)
(620) 947-3784
Entity
Organization
Contact information
Practice address
507 N ASH ST, HILLSBORO, KS 67063
(620) 947-3784
(620) 947-2801
Mailing address
PO BOX 188, HILLSBORO, KS 67063-0188
(620) 947-3784
(620) 947-2801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
210227
KS
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200406440A
—
KS
05
—
200406440B
—
KS
01
—
2031032
PK
—
Enumeration date
10/20/2006
Last updated
10/16/2020
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