Organization
JCB LABORATORY LLC
Active
Other names
JCB LABORATORIES
Organization subpart
No
Provider details
NPI number
Authorized official
KENT RICHARDSON PHARMD (COO)
(316) 773-0405
Entity
Organization
Contact information
Practice address
7335 W 33RD ST N, WICHITA, KS 67205-9368
(316) 773-0405
(316) 773-0406
Mailing address
7335 W 33RD ST N, WICHITA, KS 67205-9368
(316) 773-0405
(316) 773-0406
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
2-13016
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2027334
PK
—
Enumeration date
03/23/2007
Last updated
05/19/2014
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