Organization
YATES CENTER DRUG INC
Active
Other names
Yates Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE FREEMAN PHARMD (OWNER)
(620) 625-2221
Entity
Organization
Contact information
Practice address
122 W RUTLEDGE ST, YATES CENTER, KS 66783-1238
(620) 625-2221
(620) 625-2453
Mailing address
122 W RUTLEDGE ST, YATES CENTER, KS 66783-1238
(620) 625-2221
(620) 625-2453
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100439000A
—
KS
05
—
100439000B
—
KS
01
—
1851390405
NPI DME DEPARTMENT
KS
Enumeration date
09/11/2006
Last updated
02/17/2021
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