Organization
MONICAL DRUG INC
Active
Other names
Clark Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DYLAN MONICAL PHARMD (OWNER)
(620) 855-2242
Entity
Organization
Contact information
Practice address
104 S MAIN ST, CIMARRON, KS 67835-8875
(620) 855-2242
(620) 855-3616
Mailing address
PO BOX 207, CIMARRON, KS 67835-0207
(620) 855-2242
(620) 855-3616
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
213010
KS
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201089810A
—
KS
01
—
2143009
PK
—
Enumeration date
10/01/2013
Last updated
01/16/2026
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