Organization
SCOTT CITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WAYNE BRUNSWIG PHARM D (OWNER)
(620) 872-2146
Entity
Organization
Contact information
Practice address
102 ALBERT AVENUE, SCOTT CITY, KS 67871
(620) 872-2146
(620) 872-7099
Mailing address
102 ALBERT AVENUE, SCOTT CITY, KS 67871
(620) 872-2146
(620) 872-7099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12443
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100432180A
—
KS
Enumeration date
09/20/2006
Last updated
03/07/2023
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