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Stafford County Drug

Stafford County Drug is a health care provider in St John, KS. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 311 N Broadway St, St John, KS 67576-1831, US
Practice Location Phone620-377-5633
Practice Location Fax620-377-5656
Legal Business NameSTAFFORD COUNTY DRUG
Other Organization NameSTAFFORD COUNTY DRUG
Other Organization Name Type0
NPI ?1518476399
Entity TypeOrganization
Enumeration Date ? Sep 25, 2017
Last Update Date ? May 10, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Stafford County Drug

SpecialtySpecializationLicenseLicense State
Pharmacy
PharmacyCommunity/Retail Pharmacy 2-103986Kansas
PharmacyLong Term Care Pharmacy
PharmacySpecialty Pharmacy
PharmacyCompounding Pharmacy

legacy-id-icon Legacy Provider IDs of Stafford County Drug

Provider IdIssuer StateIssuer TypeIssuer
2171587OtherPK

official-icon Authorized Official of Stafford County Drug

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Stafford County Drug's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Lance Freeman
Authorized Official Title/PositionCO-OWNER
Authorized Official Phone Number620-886-5161