Organization
CARDINAL DRUGSTORE INC
Active
Other names
Cardinal Drugstore
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM EARL OSBORN (VP)
(918) 542-4444
Entity
Organization
Contact information
Practice address
103 E MAIN ST, CHANUTE, KS 66720-1844
(620) 430-9150
(620) 431-4969
Mailing address
103 E MAIN ST, CHANUTE, KS 66720-1844
(620) 430-9150
(620) 431-4969
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-112634
PHARMACY LICENSE
KS
05
—
200636910C
—
KS
Enumeration date
09/09/2020
Last updated
05/22/2025
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