=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326461278
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DANDURAND COMPOUNDING INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/29/2014
-----------------------------------------------------
Last Update Date | 08/05/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2233 N RIDGE RD
-----------------------------------------------------
City | WICHITA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67205-1099
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 316-685-2353
-----------------------------------------------------
Fax | 316-685-5331
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2233 N RIDGE ROAD
-----------------------------------------------------
City | WICHITA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67212
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 316-685-2353
-----------------------------------------------------
Fax | 316-685-5331
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF OPERATIONS
-----------------------------------------------------
Name | JASON C. SCHMITZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 316-250-8609
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336S0011X
-----------------------------------------------------
Taxonomy Name | Specialty Pharmacy
-----------------------------------------------------
License Number | 2-13023
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------