Organization
WAMEGO DRUG STORE INC
Active
Other names
WAMEGO DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS KING (OWNER)
(785) 456-9292
Entity
Organization
Contact information
Practice address
501 LINCOLN ST, WAMEGO, KS 66547-1633
(785) 456-9292
(785) 456-9628
Mailing address
PO BOX 227, WAMEGO, KS 66547-0227
(785) 456-9292
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
209286
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100443920B
—
KS
01
—
2031269
PK
—
Enumeration date
08/18/2006
Last updated
09/27/2024
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