Organization
COOPER DRUG INC
Active
Other names
Golden Plains Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT KAPPELMANN (OWNER)
(316) 775-2289
Entity
Organization
Contact information
Practice address
511 STATE ST, AUGUSTA, KS 67010
(316) 775-2289
(316) 775-2280
Mailing address
511 STATE ST, AUGUSTA, KS 67010-1107
(316) 775-2289
(316) 775-2280
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
2-10266
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1719915
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/25/2009
Last updated
10/29/2020
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