Organization
DM SUTHERLAND CO LLC
Active
Other names
ST MARYS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SUTHERLAND RPH (OWNER)
(785) 437-2967
Entity
Organization
Contact information
Practice address
520 W BERTRAND AVE, SAINT MARYS, KS 66536-1695
(785) 437-2967
(785) 437-2606
Mailing address
520 W BERTRAND AVE, SAINT MARYS, KS 66536-1695
(785) 437-2967
(785) 437-2606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
209950
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200266350A
—
KS
01
—
2027276
PK
—
Enumeration date
09/12/2006
Last updated
12/06/2016
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