Healthcare Provider Details

I. General information

NPI: 1881153252
Provider Name (Legal Business Name): SUNSET PLAZA DRUG CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2019
Last Update Date: 01/13/2020
Certification Date: 01/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 E CRAWFORD ST
SALINA KS
67401-5100
US

IV. Provider business mailing address

422 LINCOLN AVE ATTN: DME
CLAY CENTER KS
67432-2908
US

V. Phone/Fax

Practice location:
  • Phone: 785-827-0408
  • Fax: 785-827-8371
Mailing address:
  • Phone: 785-632-3115
  • Fax: 785-632-3777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT N PATTERSON
Title or Position: OWNER
Credential: RPH
Phone: 785-632-3115