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General NPI Number Information
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NPI Number | 1740086545
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Entity Type | Organization
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Legal Business Name | MATHIS DRUGS INC
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 400 W SAINT JOHN ST
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City | GIRARD
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State | KS
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Zip | 66743-1213
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Country | US
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Telephone | 620-724-4313
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Fax | 620-724-6900
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Provider Business Mailing Address
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Address Line | 400 W SAINT JOHN ST
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City | GIRARD
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State | KS
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Zip | 66743-1213
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Country | US
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Telephone | 620-724-4313
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Fax | 620-724-6900
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Authorized Official
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Title or Position | VP
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Name | WILLIAM EARL OSBORN
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Credential |
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Telephone | 918-542-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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