MEDICARE: BALDWIN CITY TRUECARE PHARAMCY

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	209691	KS
2	3336C0003X	Community/Retail Pharmacy
3	3336L0003X	Long Term Care Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1717353	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1710908785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALDWIN CITY TRUECARE PHARAMCY

Provider Business Mailing Address
First Line	:	410 AMES ST
Second Line	:
City	:	BALDWIN CITY
State	:	KS
Zip	:	66006-3099
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 AMES ST
Second Line	:
City	:	BALDWIN CITY
State	:	KS
Zip	:	66006-3099
Country	:	US
Telephone Number	:	785-594-0340
Fax Number	:	785-594-0343

Authorized Official
Title or Position	:	PHARMACIST MANAGER
Name	:	AMELIA FURSMAN
Credential	:	RPH
Telephone Number	:	785-594-0340

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	09/11/2025

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Directions to “BALDWIN CITY TRUECARE PHARAMCY ” Practice Location

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