Organization
JC PHARMACY LLC
Active
Other names
JC Pharmacy, Kollhoff Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUE KOLLHOFF PHARMD (OWNER)
(785) 238-1000
Entity
Organization
Contact information
Practice address
407 S WASHINGTON ST, JUNCTION CITY, KS 66441-3748
(785) 404-6144
(785) 246-5746
Mailing address
407 S WASHINGTON ST, JUNCTION CITY, KS 66441-3748
(785) 238-1000
(785) 238-5555
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
213015
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201091500A
—
KS
01
—
2143279
PK
—
Enumeration date
12/12/2013
Last updated
11/19/2021
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