Healthcare Provider Details

I. General information

NPI: 1831425230
Provider Name (Legal Business Name): MEDICATION MANAGEMENT SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2009
Last Update Date: 10/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 NW GREEN HILLS RD
TOPEKA KS
66618-1416
US

IV. Provider business mailing address

PO BOX 3024
PLATTSBURGH NY
12901-0298
US

V. Phone/Fax

Practice location:
  • Phone: 785-286-4461
  • Fax: 785-246-1547
Mailing address:
  • Phone: 518-561-1603
  • Fax: 518-561-0179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: HAROLD HOGAN
Title or Position: MEMBER
Credential: ARNP
Phone: 785-286-4461