Healthcare Provider Details

I. General information

NPI: 1306493374
Provider Name (Legal Business Name): PRICE PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2019
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 N ROCK RD
DERBY KS
67037-3705
US

IV. Provider business mailing address

1101 N ROCK RD
DERBY KS
67037-3705
US

V. Phone/Fax

Practice location:
  • Phone: 316-788-6669
  • Fax: 316-788-3570
Mailing address:
  • Phone: 316-788-6669
  • Fax: 316-788-3570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM EARL OSBORN
Title or Position: VICE PRESIDENT
Credential:
Phone: 918-542-4444