MEDICARE: AUBURN 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy	2-101621	KS
3	3336L0003X	Long Term Care Pharmacy
4	3336C0003X	Community/Retail 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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710992359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUBURN PHARMACY, INC.

Provider Business Mailing Address
First Line	:	259 W PARK RD
Second Line	:
City	:	GARNETT
State	:	KS
Zip	:	66032-1080
Country	:	US
Telephone Number	:	785-392-2213
Fax Number	:	785-392-2487

Provider Business Practice Location Address
First Line	:	209 W 2ND ST
Second Line	:
City	:	MINNEAPOLIS
State	:	KS
Zip	:	67467-2311
Country	:	US
Telephone Number	:	785-392-2213
Fax Number	:	785-392-2487

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MICHAEL BURNS
Credential	:	RPH
Telephone Number	:	785-448-3600

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	11/22/2021

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