Organization
CALDWELL COMPOUNDING PHARMACY INC
Active
Other names
CALDWELL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERCIL GEORGE RPH (PRES PIC)
(620) 845-6916
Entity
Organization
Contact information
Practice address
7 N MAIN ST, CALDWELL, KS 67022-1529
(620) 845-6916
(620) 845-6961
Mailing address
PO BOX 32, CALDWELL, KS 67022-0032
(620) 845-6916
(620) 845-6961
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
208101
KS
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100437110A
—
KS
01
—
2031598
PK
—
Enumeration date
12/01/2006
Last updated
08/15/2016
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