Healthcare Provider Details

I. General information

NPI: 1871605725
Provider Name (Legal Business Name): ATWOOD PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 STATE ST
ATWOOD KS
67730-1929
US

IV. Provider business mailing address

PO BOX 86
ATWOOD KS
67730-0086
US

V. Phone/Fax

Practice location:
  • Phone: 785-626-3214
  • Fax:
Mailing address:
  • Phone: 785-626-3214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LANCE MICHAEL FREEMAN
Title or Position: VICE PRESIDENT
Credential:
Phone: 785-626-3214