Organization
VIA CHRISTI PHARMACY
Active
Organization
VIA CHRISTI PHARMACY
Active
Other names
Via Christi Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIM GARRELTS (EXECUTIVE DIRECTOR OF PHARMACY)
(316) 268-5580
Entity
Organization
Contact information
Practice address
929 N SAINT FRANCIS ST, OUTPATIENT PHARMACY, WICHITA, KS 67214-3821
(316) 613-6511
(316) 613-6517
Mailing address
929 N SAINT FRANCIS ST, OUTPATIENT PHARMACY, WICHITA, KS 67214-3821
(316) 613-6511
(316) 613-6517
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
210439
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720704
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/29/2013
Last updated
03/29/2013
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