Organization
SUREPOINT MEDICAL LLC
Active
Other names
SUREPOINT MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE LORD (PHARMACY MANAGER)
(785) 550-4153
Entity
Organization
Contact information
Practice address
3235 OUSDAHL RD, STE B, LAWRENCE, KS 66046-4366
(866) 351-2636
(866) 235-7541
Mailing address
3235 OUSDAHL RD, STE B, LAWRENCE, KS 66046-4366
(866) 351-2636
(866) 235-7541
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-12990
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200375780A
—
KS
01
—
2027353
PK
—
05
—
626252704
—
MO
Enumeration date
08/25/2006
Last updated
07/22/2014
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