=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700727278
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AUBURN PHARMACY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/01/2026
-----------------------------------------------------
Last Update Date | 04/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 311 N HOSPITAL DR
-----------------------------------------------------
City | PAOLA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66071
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-294-3516
-----------------------------------------------------
Fax | 913-294-8411
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 259 W PARK RD
-----------------------------------------------------
City | GARNETT
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-448-3600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | THIRD PARTY SUPPORT
-----------------------------------------------------
Name | JORI MOORE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 785-448-3600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------