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Contact Information

AR - EX DRUG STORE INC
801 BROADWAY
MARYSVILLE, KS66508
 Phone: 785-562-3196
 Fax: 785-562-2340
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for AR - EX DRUG STORE INC

NPI # 1447334453
LBN Legal business name AR - EX DRUG STORE INC
Authorized official GLENDA LOWDERMILK - (SECRETARY TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 07/01/2008 - About 18 years ago
Identifiers
KS License # 207380
KS Medicaid 100434350A
KS Medicaid 100434360A
Other 1704003 NCPDC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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