Organization
ORCHARDS DRUG LC
Active
Other names
ORCHARDS DRUG LC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SMITH B.S. PHARMACY (MANAGER/OWNER/PIC)
(785) 843-8555
Entity
Organization
Contact information
Practice address
1410 KASOLD DR, STE A16, LAWRENCE, KS 66049-3424
(785) 843-8555
(785) 843-0645
Mailing address
1410 KASOLD DR, STE A16, LAWRENCE, KS 66049-3424
(785) 843-8555
(785) 843-0645
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-07745
KS
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100439380A
—
KS
01
—
2025806
PK
—
Enumeration date
08/31/2006
Last updated
06/29/2016
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