Organization
AXIVARX OF KANSAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN S SHAPIRO (PRESIDENT)
(844) 442-9482
Entity
Organization
Contact information
Practice address
11425 STRANG LINE RD, LENEXA, KS 66215-4047
(913) 355-5600
(913) 355-5601
Mailing address
11425 STRANG LINE RD, LENEXA, KS 66215-4047
(913) 355-5600
(913) 355-5601
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-109994
BOARD OF PHARMACY
KS
05
—
20187560A
—
KS
Enumeration date
09/13/2018
Last updated
10/10/2024
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