Healthcare Provider Details

I. General information

NPI: 1790182954
Provider Name (Legal Business Name): RICE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2014
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 S PENN AVE
OBERLIN KS
67749-2243
US

IV. Provider business mailing address

102 S STATE ST
NORTON KS
67654-2142
US

V. Phone/Fax

Practice location:
  • Phone: 785-475-2285
  • Fax: 785-470-2470
Mailing address:
  • Phone: 785-877-2721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2-13069
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2-13069
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number2-13069
License Number StateKS

VIII. Authorized Official

Name: CHASE RICE
Title or Position: OWNER
Credential:
Phone: 785-877-2721