Organization
VOLLERTSEN-OBERLIN INC
Active
Other names
ward drug store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT W VOLLERTSEN RPH (OWNER)
(785) 475-2285
Entity
Organization
Contact information
Practice address
142 S PENN AVE, OBERLIN, KS 67749-2243
(785) 475-2285
(785) 470-2470
Mailing address
PO BOX 297, OBERLIN, KS 67749-0297
(785) 475-2285
(785) 470-2470
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8419
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100440200A
—
KS
05
—
100440200B
—
KS
Enumeration date
08/29/2006
Last updated
11/18/2013
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