Organization
ADVOCATE HEALTH SERVICES, INC.
Active
Other names
Amberwell Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BROCKHOFF (PRESIDENT)
(913) 360-5586
Entity
Organization
Contact information
Practice address
300 UTAH ST STE 101, HIAWATHA, KS 66434-2314
(785) 742-6190
(785) 742-6191
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 360-5586
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
01/29/2024
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