Organization
AUBURN PHARMACY, INC.
Active
Organization
AUBURN PHARMACY, INC.
Active
Other names
AuBurn Pharmacy #171
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W BURNS RPH (OWNER/CEO)
(785) 448-3600
Entity
Organization
Contact information
Practice address
6 W BROADWAY ST, LEBO, KS 66856-9709
(620) 256-6122
(620) 256-6117
Mailing address
259 W PARK RD, GARNETT, KS 66032-1080
(785) 448-3600
(785) 448-3206
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
208148
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201174430C
—
KS
05
—
201174430E
—
KS
Enumeration date
10/18/2005
Last updated
11/16/2021
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