Healthcare Provider Details

I. General information

NPI: 1497741748
Provider Name (Legal Business Name): DAUNER PHARMACIES CHTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 01/08/2020
Certification Date: 01/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 N COMMERCIAL ST
MANKATO KS
66956-2206
US

IV. Provider business mailing address

125 N COMMERCIAL ST PO BOX 266
MANKATO KS
66956-2206
US

V. Phone/Fax

Practice location:
  • Phone: 785-378-3183
  • Fax: 785-378-3809
Mailing address:
  • Phone: 785-378-3183
  • Fax: 785-378-3809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number7127
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LYLE R DAUNER
Title or Position: PRESIDENT
Credential: RPH
Phone: 785-378-3183