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Organization

MIDWEST FAMILY HEALTH OF PLAINVILLE LLC

Active
Other names
Midwest Family Health
Organization subpart
No

Provider details

NPI number
Authorized official
STACIE RICKER (OWNER)
(785) 540-4143
Entity
Organization

Contact information

Practice address
210 W MILL ST, PLAINVILLE, KS 67663-2227
(785) 434-4615
(785) 434-4895
Mailing address
PO BOX 608, PHILLIPSBURG, KS 67661-0608
(785) 434-4615
(785) 434-4895

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy
3336M0002X
Mail Order Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2140541
PK
05
30003907760001
KS
Enumeration date
05/29/2013
Last updated
03/25/2025
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