Organization
PHARMACON DRUG P.A. DBA ANDOVER DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DAMM RPH (OWNER)
(316) 788-5533
Entity
Organization
Contact information
Practice address
307 W HWY 54 BLDG 200, ANDOVER, KS 67002-7848
(316) 260-6030
Mailing address
1412 N WOODLAWN BLVD, DERBY, KS 67037-2922
(316) 788-5533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2-13013
KS
Other
Enumeration date
11/07/2013
Last updated
11/26/2013
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