Organization
DEGOLER INC.
Active
Other names
DeGoler Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN C. HARTE PHARM.D. (PRESIDENT)
(913) 596-2133
Entity
Organization
Contact information
Practice address
5701 STATE AVE, KANSAS CITY, KS 66102-1236
(913) 596-2133
(913) 596-1003
Mailing address
5701 STATE AVE, KANSAS CITY, KS 66102-1236
(913) 596-2133
(913) 596-1003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-09375
KS
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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