Organization
AUBURN PHARMACY, INC.
Active
Other names
AuBurn LTC Wichita #181
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BURNS (OWNER/CEO)
(785) 448-3600
Entity
Organization
Contact information
Practice address
5318 W CENTRAL AVE, WICHITA, KS 67212-2455
(833) 427-0204
(833) 427-0205
Mailing address
259 W PARK RD, GARNETT, KS 66032-1080
(833) 427-0204
(833) 427-0205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
2-104669
KS
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201174430D
—
KS
05
—
201174430G
—
KS
01
—
2175246
PK
—
Enumeration date
01/05/2018
Last updated
06/12/2020
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