Organization
CANEY PHARMACY INC
Active
Other names
Creative Health Pharmacy of Caney
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN T DULEY (PRESIDENT)
(620) 879-5822
Entity
Organization
Contact information
Practice address
208 W 4TH AVE, CANEY, KS 67333-1462
(620) 879-5822
(620) 879-2721
Mailing address
208 W 4TH AVE, CANEY, KS 67333-1462
(620) 879-5822
(620) 879-2721
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100439890B
—
KS
05
—
100846330A
—
OK
01
—
2155967
PK
—
Enumeration date
12/01/2006
Last updated
07/11/2023
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