Organization
UNIVERSITY OF KANSAS HOSPITAL
Active
Parent organization
THE UNIVERSITY OF KANSAS HOSPITAL
Other names
University of Kansas Hospital Extended Care Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE UNIVERSITY OF KANSAS HOSPITAL
Authorized official
RANDY LUTZ (OUTPATIENT PHARMACY MANAGER)
(913) 588-2370
Entity
Organization
Contact information
Practice address
3910 RAINBOW BLVD, SUITE 110, KANSAS CITY, KS 66160-0001
(913) 574-1100
(913) 574-1110
Mailing address
PO BOX 955772, SAINT LOUIS, MO 63195-5772
(913) 588-2371
(913) 588-2385
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
213027
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145036
PK
—
Enumeration date
04/03/2014
Last updated
05/05/2014
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