Organization
THREE AMIGOS APOTHECARY LLC
Active
Other names
Cherryvale Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN CASWELL R.PH. (OWNER)
(620) 336-2144
Entity
Organization
Contact information
Practice address
203 W MAIN ST, SUITE A, CHERRYVALE, KS 67335-1332
(620) 336-2144
(620) 336-3285
Mailing address
203 W MAIN ST, SUITE A, CHERRYVALE, KS 67335-1332
(620) 336-2144
(620) 336-3285
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-10407
KS
Other
Enumeration date
01/08/2013
Last updated
01/09/2013
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