Healthcare Provider Details

I. General information

NPI: 1548652761
Provider Name (Legal Business Name): HUGOTON DRUG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2015
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 S MAIN ST
HUGOTON KS
67951-2432
US

IV. Provider business mailing address

531 S MAIN ST
HUGOTON KS
67951-2432
US

V. Phone/Fax

Practice location:
  • Phone: 620-544-4065
  • Fax:
Mailing address:
  • Phone: 620-544-4065
  • Fax:

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: BRETT ALLAN HORYNA
Title or Position: OWNER/PHARMACIST
Credential: RPH
Phone: 620-624-4065