Healthcare Provider Details

I. General information

NPI: 1609828722
Provider Name (Legal Business Name): KOLLING PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 11/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N EISENHOWER DR
JUNCTION CITY KS
66441-3314
US

IV. Provider business mailing address

120 N EISENHOWER DR
JUNCTION CITY KS
66441-3314
US

V. Phone/Fax

Practice location:
  • Phone: 785-762-5535
  • Fax: 785-762-4277
Mailing address:
  • Phone: 785-762-5535
  • Fax: 785-762-4277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. GARY R KOLLING
Title or Position: OWNER/RPH
Credential:
Phone: 785-762-5535