Organization
ELMHURST APOTHECARY, LLC
Active
Other names
Elmhurst Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS L FUNK R.PH. (MEMBER)
(785) 243-9796
Entity
Organization
Contact information
Practice address
1018 ELMHURST BLVD, CONCORDIA, KS 66901-3900
(785) 243-9796
(785) 243-1827
Mailing address
1018 ELMHURST BLVD, CONCORDIA, KS 66901-3900
(785) 243-9796
(785) 243-1827
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
2-09818
KS
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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