MEDICARE: GESSLER DRUG CO 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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	2-10257	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2030663	OTHER		PK

General Provider Information

NPI Number	:	1356344436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GESSLER DRUG CO INC

Provider Business Mailing Address
First Line	:	1834 MARC AVE
Second Line	:
City	:	ANDOVER
State	:	KS
Zip	:	67002-9435
Country	:	US
Telephone Number	:	316-733-2136
Fax Number	:

Provider Business Practice Location Address
First Line	:	4817 E DOUGLAS AVE STE 300
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-1019
Country	:	US
Telephone Number	:	316-683-1318
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HAL SCHWARZ
Credential	:	PHARMACIST
Telephone Number	:	316-683-1318

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	08/19/2016

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Directions to “GESSLER DRUG CO INC ” Practice Location

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