Organization
ROBERTS PHARMACY LLC
Active
Other names
Eureka Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD D ROBERTS RPH (OWNER)
(620) 583-5488
Entity
Organization
Contact information
Practice address
1602 N ELM ST, EUREKA, KS 67045-1090
(620) 583-5488
(620) 583-6495
Mailing address
1602 N ELM ST, EUREKA, KS 67045-1090
(620) 583-5488
(620) 583-6495
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2-10113
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200542310A
—
KS
Enumeration date
06/19/2008
Last updated
06/19/2008
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