Organization
BOYAJIAN INC
Active
Other names
Gardner Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM H BOYAJIAN RPH (OWNER)
(913) 856-8106
Entity
Organization
Contact information
Practice address
131 E MAIN ST, GARDNER, KS 66030-1309
(913) 856-8106
(913) 856-8802
Mailing address
131 E MAIN ST, GARDNER, KS 66030-1309
(913) 856-8106
(913) 856-8802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
02-9108
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100443770A
—
KS
05
—
100443770B
—
KS
Enumeration date
09/20/2006
Last updated
03/30/2009
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