Organization
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY
Active
Parent organization
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY
Other names
University of Kansas Hospital Southlake Retail Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY
Authorized official
MR. BOB PAGE (PRESIDENT)
(913) 588-7332
Entity
Organization
Contact information
Practice address
11300 CORPORATE AVE STE 120, LENEXA, KS 66219-1374
(913) 588-1586
Mailing address
3901 RAINBOW BLVD, MAILSTOP 4040, KANSAS CITY, KS 66160-8500
(913) 588-2361
(913) 588-2385
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-103873
KS
Other
Enumeration date
09/26/2017
Last updated
10/24/2017
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