Healthcare Provider Details
I. General information
NPI: 1891796017
Provider Name (Legal Business Name): ARBUTHNOTS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2005
Last Update Date: 06/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1806 MAIN ST
BELLEVILLE KS
66935-2206
US
IV. Provider business mailing address
PO BOX 567
BELLEVILLE KS
66935-0567
US
V. Phone/Fax
- Phone: 785-527-2146
- Fax: 785-527-5528
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 2-06830 |
| License Number State | KS |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336H0001X |
| Taxonomy | Home Infusion Therapy Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KEVIN
COUTURE
Title or Position: OWNER
Credential:
Phone: 785-527-2146