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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