Organization
DEGOLER'S INC.
Active
Other names
DeGoler Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN HARTE (OWNER/PHARMACIST)
(913) 596-2447
Entity
Organization
Contact information
Practice address
19601 W 101ST ST, LENEXA, KS 66220-8600
(913) 764-9005
Mailing address
19601 W 101ST ST, LENEXA, KS 66220-8600
(913) 764-9005
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-13044
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146997
PK
—
Enumeration date
08/15/2014
Last updated
08/15/2014
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