Healthcare Provider Details

I. General information

NPI: 1215049507
Provider Name (Legal Business Name): ROUND CORNER DRUG COMPANY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 MASSACHUSETTS ST
LAWRENCE KS
66044-2657
US

IV. Provider business mailing address

801 MASSACHUSETTS ST
LAWRENCE KS
66044-2657
US

V. Phone/Fax

Practice location:
  • Phone: 785-843-0200
  • Fax: 785-843-8346
Mailing address:
  • Phone: 785-843-0200
  • Fax: 785-843-8346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number207707
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number207707
License Number StateKS

VIII. Authorized Official

Name: MR. THOMAS M WILCOX
Title or Position: OWNER/PHARMACIST
Credential:
Phone: 785-843-0200