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Organization

LAKIN DRUG, LLC

Active
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Organization

LAKIN DRUG, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYSON MULLEN (MEMBER)
(620) 355-8101
Entity
Organization

Contact information

Practice address
610 OLOUGHLIN ST, LAKIN, KS 67860
(620) 355-8101
Mailing address
PO BOX 570, ULYSSES, KS 67880-0570

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
3336L0003X
Long Term Care Pharmacy

Other

Enumeration date
12/07/2018
Last updated
06/24/2019
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