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NPI Code Detail

MEDICARE: KINGMAN DRUG INC

MEDICARE: KINGMAN DRUG INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy
2333600000XPharmacy2-05357KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22177514OTHERPK

General Provider Information

NPI Number : 1043709785
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINGMAN DRUG INC
Provider Business Mailing Address
First Line : 211 N MAIN ST
Second Line :
City : KINGMAN
State : KS
Zip : 67068-1334
Country : US
Telephone Number : 620-532-5113
Fax Number : 620-532-5431
Provider Business Practice Location Address
First Line : 211 N MAIN ST
Second Line :
City : KINGMAN
State : KS
Zip : 67068-1334
Country : US
Telephone Number : 620-532-5113
Fax Number : 620-532-5431
Authorized Official
Title or Position : MANAGER
Name : CINDA NOLL GEESLING
Credential :
Telephone Number : 620-532-5113
Provider Enumeration Date : 05/08/2018
Last Update Date : 05/08/2018

Similar Medicare Providers

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211 N MAIN ST
KINGMAN, KS
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1700887023 — KINGMAN DRUG INC
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1225444110 — DR. ERIKA FITZGERALD PHARMD
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1417365198 — MR. GREGORY EDWIN HEIKES RPH
Practice Location Address:
211 N MAIN ST
KINGMAN, KS
67068-1334
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Practice Fax:
1972507390 — CITY OF KINGMAN
Practice Location Address:
332 N MAIN ST
KINGMAN, KS
67068-1303
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1396744223 — MR. RANDALL RENEE BEECH MD
Practice Location Address:
750 AVE D WEST
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Directions to “KINGMAN DRUG INC ” Practice Location

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