Healthcare Provider Details

I. General information

NPI: 1710908785
Provider Name (Legal Business Name): BALDWIN CITY TRUECARE PHARAMCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 AMES ST
BALDWIN CITY KS
66006-3099
US

IV. Provider business mailing address

410 AMES ST
BALDWIN CITY KS
66006-3099
US

V. Phone/Fax

Practice location:
  • Phone: 785-594-0340
  • Fax: 785-594-0343
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number209691
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AMELIA FURSMAN
Title or Position: PHARMACIST MANAGER
Credential: RPH
Phone: 785-594-0340