Organization
GRANT COMPOUNDS INC
Active
Other names
KING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GRANT RPH (OWNER)
(785) 843-4516
Entity
Organization
Contact information
Practice address
1112 W 6TH ST, STE 102, LAWRENCE, KS 66044-2215
(785) 843-4516
(785) 843-5723
Mailing address
1112 W 6TH ST, STE 102, LAWRENCE, KS 66044-2215
(785) 843-4516
(785) 843-5723
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
210117
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1719129
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/12/2007
Last updated
01/30/2013
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