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General NPI Number Information
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NPI Number | 1316107162
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Entity Type | Organization
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Legal Business Name | SENIOR RX CARE OF KANSAS LLC
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 121 SE 6TH AVE STE 1
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City | TOPEKA
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State | KS
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Zip | 66603-3508
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Country | US
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Telephone | 877-232-4601
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Fax | 877-234-1412
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Provider Business Mailing Address
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Address Line | 121 SE 6TH AVE STE 1
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City | TOPEKA
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State | KS
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Zip | 66603-3508
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Country | US
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Telephone | 877-232-4601
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Fax | 877-234-1412
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Authorized Official
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Title or Position | EXEC DIRECTOR
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Name | MATTHEW HAYDEN
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Credential |
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Telephone | 785-250-2920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 210188
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License Number State | KS
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