Organization
WEIMER DRUG CO., INC.
Active
Other names
PATTERSON HEALTH MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LINDY CLARK (DME BILLING ADMINISTRATOR)
(785) 632-3115
Entity
Organization
Contact information
Practice address
422 LINCOLN AVE, CLAY CENTER, KS 67432-2908
(785) 632-3115
(785) 632-3777
Mailing address
422 LINCOLN AVE, CLAY CENTER, KS 67432-2908
(785) 632-3115
(785) 632-3777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
207255
KS
332BX2000X
Oxygen Equipment & Supplies (DME)
207255
KS
335E00000X
Prosthetic/Orthotic Supplier
2-07255
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100435190B
—
KS
01
—
1306840855
PHARMACY NPI
KS
01
—
1821119306
DME NPI
KS
Enumeration date
04/03/2007
Last updated
10/08/2020
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