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NPI Code Detail

MEDICARE: FOXX APOTHECARY, INC

MEDICARE: FOXX APOTHECARY, 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
1333600000XPharmacy6655KS

General Provider Information

NPI Number : 1689678450
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOXX APOTHECARY, INC
Provider Business Mailing Address
First Line : 710 W,. 8TH ST.,
Second Line : P.O. BOX 750
City : FORT SCOTT
State : KS
Zip : 66701-0750
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 710 W 8TH ST
Second Line :
City : FORT SCOTT
State : KS
Zip : 66701-2404
Country : US
Telephone Number : 620-223-5200
Fax Number :
Authorized Official
Title or Position : OWNER/PHARMACIST
Name : W. J. BRYAN FOXX II
Credential : RPH
Telephone Number : 620-223-5200
Provider Enumeration Date : 06/09/2005
Last Update Date : 08/22/2020

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Directions to “FOXX APOTHECARY, INC ” Practice Location

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