Organization
BRUNSWIG PHARMACY, PA
Active
Other names
Wichita County Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WAYNE BRUNSWIG PHARMD (OWNER/STAFF PHARMACIST)
(620) 375-2323
Entity
Organization
Contact information
Practice address
111 W BROADWAY, LEOTI, KS 67861-7019
(620) 375-2323
Mailing address
111 W BROADWAY, LEOTI, KS 67861-7019
(620) 375-2323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12443
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1213382
EIN NUMBER
KS
Enumeration date
09/20/2006
Last updated
03/07/2023
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