Healthcare Provider Details

I. General information

NPI: 1417276338
Provider Name (Legal Business Name): WEIMER DRUG CO., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2010
Last Update Date: 11/06/2020
Certification Date: 11/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 NW 3RD ST
ABILENE KS
67410-2628
US

IV. Provider business mailing address

422 LINCOLN AVE
CLAY CENTER KS
67432-2908
US

V. Phone/Fax

Practice location:
  • Phone: 785-263-2229
  • Fax: 785-263-2547
Mailing address:
  • Phone: 785-632-3115
  • Fax: 785-632-3777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number2-09704
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number2-09704
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number2-09704
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2-9704
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: SCOTT NOLAN PATTERSON
Title or Position: OWNER
Credential: RPH
Phone: 785-632-3115