Organization
BLOODHART DRUG LLC
Active
Other names
Winters Pharmacies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WINTERS (VICE PRESIDENT)
(816) 777-0609
Entity
Organization
Contact information
Practice address
621 S MAIN ST, HUGOTON, KS 67951-2419
(620) 544-4369
(620) 544-7045
Mailing address
PO BOX 6680, LEES SUMMIT, MO 64064-6680
(816) 777-0609
(816) 777-0615
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
004300246227F01
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118383
BLUE CROSS BLUE SHIELD
KS
05
—
200118220-A
—
OK
05
—
200452510-A
—
KS
05
—
200452510-B
—
KS
01
—
203043087
LANSING PHARMACY
KS
01
—
203303814
KOHLER PROFESSIONAL PHARM
CO
Enumeration date
12/19/2006
Last updated
07/31/2008
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