Organization
RICKS PHARMACY AND WELLNESS INC
Active
Organization
RICKS PHARMACY AND WELLNESS INC
Active
Other names
THE MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK TEJEDA RPH (PRESIDENT OWNER)
(316) 838-2100
Entity
Organization
Contact information
Practice address
2315 W 21ST ST N, SUITE 117, WICHITA, KS 67203-2150
(316) 838-2100
(316) 838-7843
Mailing address
2315 W 21ST ST N, SUITE 117, WICHITA, KS 67203-2150
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
210043
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100440100B
—
KS
01
—
1715359
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/21/2006
Last updated
09/12/2008
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