Organization
CANDLEWOOD PHARMACY LC
Active
Other names
Candlewood HealthMart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HELLERICH PHARMD (PIC OWNER)
(785) 776-4100
Entity
Organization
Contact information
Practice address
3254 KIMBALL AVE, MANHATTAN, KS 66503-2157
(785) 776-4100
(785) 776-1039
Mailing address
3254 KIMBALL AVE, MANHATTAN, KS 66503-2157
(785) 776-4100
(785) 776-1039
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100325350B
—
KS
Enumeration date
09/08/2005
Last updated
10/24/2023
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