Organization
GREENSBURG DRUG CO INC
Active
Other names
KINSLEY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB EDWARDS PHARMD (MANAGER)
(620) 659-2136
Entity
Organization
Contact information
Practice address
207 E 6TH ST, KINSLEY, KS 67547-1109
(620) 659-2136
(620) 659-2252
Mailing address
207 E 6TH ST, KINSLEY, KS 67547-1109
(620) 659-2136
(620) 659-2252
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-08914
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100437590A
—
KS
01
—
2031053
PK
—
Enumeration date
09/21/2006
Last updated
01/16/2024
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