Organization
PHARMACY MANGAGEMENT, LLC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC MURRELL PHARM.D. (OWNER)
(620) 431-0898
Entity
Organization
Contact information
Practice address
1720 S SANTA FE AVE, BOX 126, CHANUTE, KS 66720
(620) 431-0898
(620) 431-0962
Mailing address
1720 S SANTA FE AVE, P.O. BOX 126, CHANUTE, KS 66720-3225
(620) 431-0898
(620) 431-0962
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
8530
KS
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
8530
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100433980A
—
KS
05
—
100433990A
—
KS
01
—
1707136
NCPDP
KS
Enumeration date
10/02/2006
Last updated
03/07/2023
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