Healthcare Provider Details

I. General information

NPI: 1912437427
Provider Name (Legal Business Name): HEALTH CENTER PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2017
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 WHEAT ROAD
WINFIELD KS
67156
US

IV. Provider business mailing address

722 WHEAT RD
WINFIELD KS
67156-3216
US

V. Phone/Fax

Practice location:
  • Phone: 620-221-7850
  • Fax: 620-221-3296
Mailing address:
  • Phone: 620-221-7850
  • Fax: 620-221-3296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number2-101670
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2-101670
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number2-101670
License Number StateKS

VIII. Authorized Official

Name: ANGELA ELIZABETH NORTON
Title or Position: OWNER/PHARMACIST
Credential: RPH
Phone: 620-221-7850