MEDICARE: EL DORADO PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336L0003X	Long Term Care Pharmacy
3	3336C0004X	Compounding Pharmacy
4	3336C0003X	Community/Retail Pharmacy	209578	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2030748	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053378513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL DORADO PHARMACY INC

Provider Business Mailing Address
First Line	:	205 N VINE ST
Second Line	:
City	:	EL DORADO
State	:	KS
Zip	:	67042-2055
Country	:	US
Telephone Number	:	316-321-5330
Fax Number	:	316-321-1254

Provider Business Practice Location Address
First Line	:	205 N VINE ST
Second Line	:
City	:	EL DORADO
State	:	KS
Zip	:	67042-2055
Country	:	US
Telephone Number	:	316-321-5330
Fax Number	:	316-321-1254

Authorized Official
Title or Position	:	OWNER/PHARMACIST IN CHARGE
Name	:	MICHAEL BELLESINE
Credential	:
Telephone Number	:	316-321-5330

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	02/20/2017

Similar Medicare Providers

1881698777 — DR. ROSEMARIE A WILSON DC
Practice Location Address:

215 N VINE ST
EL DORADO, KS
67042-2055

Practice Phone: 316-321-2273
Practice Fax: 316-321-2225

1679531370 — WILSON CHIROPRACTIC CENTER, PA
Practice Location Address:

215 N VINE ST
EL DORADO, KS
67042-2055

Practice Phone: 316-321-2273
Practice Fax: 316-321-2225

1669480380 — DR. GREGORY PAUL JOYCE O.D.
Practice Location Address:

201 N VINE ST
EL DORADO, KS
67042-2055

Practice Phone: 316-321-4020
Practice Fax: 316-321-0115

1497823538 — DRS JOYCE & HURSH, LLC
Practice Location Address:

201 N VINE ST
EL DORADO, KS
67042-2055

Practice Phone: 316-321-4020
Practice Fax: 316-321-0115

1972769545 — MRS. AMANDA LEE HURSH O.D,
Practice Location Address:

201 N VINE ST
EL DORADO, KS
67042-2055

Practice Phone: 316-321-4020
Practice Fax: 316-321-0115

1609115377 — MRS. KAILEIGH BETH MCLAUGHLIN D.C.
Practice Location Address:

215 N VINE ST
EL DORADO, KS
67042-2055

Practice Phone: 316-321-2273
Practice Fax: 316-321-2225

Directions to “EL DORADO PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.