Healthcare Provider Details

I. General information

NPI: 1366424145
Provider Name (Legal Business Name): EL KAN DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 N KANSAS AVE
LIBERAL KS
67901-2644
US

IV. Provider business mailing address

1033 N KANSAS AVE
LIBERAL KS
67901-2644
US

V. Phone/Fax

Practice location:
  • Phone: 620-624-4065
  • Fax: 620-626-8906
Mailing address:
  • Phone: 620-624-4065
  • Fax: 620-626-8906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRETT ALLAN HORYNA
Title or Position: OWNER
Credential:
Phone: 620-624-4065