Healthcare Provider Details
I. General information
NPI: 1477668408
Provider Name (Legal Business Name): AUBURN PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2006
Last Update Date: 03/07/2023
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
716 N 4TH ST
BURLINGTON KS
66839-1286
US
IV. Provider business mailing address
716 N 4TH ST
BURLINGTON KS
66839-1286
US
V. Phone/Fax
- Phone: 620-364-3388
- Fax: 620-364-3381
- Phone: 620-364-3388
- Fax: 620-364-3381
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
W
BURNS
Title or Position: OWNER/CEO
Credential: RPH
Phone: 785-448-3600