Healthcare Provider Details

I. General information

NPI: 1043320310
Provider Name (Legal Business Name): MEISTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19846 W KELLOGG DR
GODDARD KS
67052-9206
US

IV. Provider business mailing address

19846 W KELLOGG DR P.O. BOX 450
GODDARD KS
67052-9206
US

V. Phone/Fax

Practice location:
  • Phone: 316-794-2217
  • Fax: 316-794-2899
Mailing address:
  • Phone: 316-794-2217
  • Fax: 316-794-2899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2-07072
License Number StateKS

VIII. Authorized Official

Name: MR. RALPH EDWARD MEISTER
Title or Position: PRESIDENT
Credential: R.PH.
Phone: 316-794-2217