Organization
YATES CENTER PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD J SEDLACEK RPH (PHARMACIST/PRESIDENT)
(620) 625-2221
Entity
Organization
Contact information
Practice address
122 W RUTLEDGE ST, YATES CENTER, KS 66783-1238
(620) 625-2221
(620) 625-2453
Mailing address
122 W RUTLEDGE ST, YATES CENTER, KS 66783-1238
(620) 625-2221
(620) 625-2453
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
208078
KS
332B00000X
Durable Medical Equipment & Medical Supplies
0193610001
KS
333600000X
Pharmacy
Primary
208078
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100439000A
—
KS
05
—
100439000B
—
KS
Enumeration date
07/16/2005
Last updated
04/28/2011
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