Organization
JEFFERSON COUNTY MEMORIAL HOSPITAL FOUNDATION, INC.
Active
Other names
FW Huston Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA GIGSTAD (PRESIDENT OF BOARD OF DIRECTORS)
(913) 774-4340
Entity
Organization
Contact information
Practice address
509 DELAWARE STREET, OSKALOOSA, KS 66066
(785) 863-3401
(785) 863-3405
Mailing address
509 DELAWARE STREET, OSKALOOSA, KS 66066
(785) 863-3401
(785) 863-3405
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
209658
KS
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100444240B
—
KS
Enumeration date
07/05/2006
Last updated
10/27/2016
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