Organization
NEIGHBORHOOD PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBUBE OTUONYE (OWNER)
(316) 665-4427
Entity
Organization
Contact information
Practice address
2251 E 21ST ST N, SUITE 121, WICHITA, KS 67214-1972
(316) 665-4427
(888) 252-7110
Mailing address
NEIGHBORHOOD PHARMACY, P.O. BOX 685, WICHITA, KS 67201
(316) 665-4427
(888) 252-7110
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-10326
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200607440A
—
KS
01
—
2120409
PK
—
Enumeration date
05/25/2009
Last updated
06/05/2018
Update your record
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