=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841176104
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PRICE PHARMACIES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/13/2025
-----------------------------------------------------
Last Update Date | 08/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 201 N BALTIMORE AVE
-----------------------------------------------------
City | DERBY
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67037-1601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 316-788-5533
-----------------------------------------------------
Fax | 316-788-7432
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 201 N BALTIMORE AVE
-----------------------------------------------------
City | DERBY
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67037-1601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 316-788-5533
-----------------------------------------------------
Fax | 316-788-7432
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP
-----------------------------------------------------
Name | WILLIAM EARL OSBORN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 918-542-4444
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------