Organization
ASCENSION MEDICAL GROUP VIA CHRISTI, PA
Active
Other names
Ascension Via Christi Pharmacy, Via Christi Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUE STEARNS RPH (PHARMACY MANAGER)
(316) 274-8280
Entity
Organization
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 274-8280
(316) 274-8438
Mailing address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 274-8280
(316) 274-8438
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-10323
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200726520A
—
KS
01
—
2132798
PK
—
Enumeration date
08/11/2006
Last updated
10/16/2019
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