Healthcare Provider Details

I. General information

NPI: 1851209423
Provider Name (Legal Business Name): AUBURN PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 S OAK ST
NEVADA MO
64772
US

IV. Provider business mailing address

259 W PARK RD
GARNETT KS
66032
US

V. Phone/Fax

Practice location:
  • Phone: 417-667-7802
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA RAE DOHERTY
Title or Position: DIRECTOR OF RETAIL PHARMACY
Credential: PHARMD
Phone: 785-448-3600