Organization
MT OREAD PHARMACY LLC
Active
Parent organization
MT OREAD PHARMACY LLC
Other names
Jayhawk Pharmacy West
Organization subpart
Yes
Provider details
NPI number
Legal business name
MT OREAD PHARMACY LLC
Authorized official
ERICK W AXCELL PHARMD (PHARMACIST - OWNER)
(785) 843-0111
Entity
Organization
Contact information
Practice address
6265 ROCK CHALK DRIVE, LMH HEALTH WEST, SUITE 1401, LAWRENCE, KS 66049
(785) 843-0455
Mailing address
3510 CLINTON PKWY STE 220, LAWRENCE, KS 66047-2145
(785) 843-0111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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