NPI Database
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Contact Information

WALDRON PHARMACY, INC.
111 S MAIN
JOHNSON CITY, KS67855
 Phone: 620-492-3263
 Fax: 620-492-3318
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WALDRON PHARMACY, INC.

NPI # 1508921800
LBN Legal business name WALDRON PHARMACY, INC.
Authorized official KENT WALDRON - (OWNER AND PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2006
Last updated 12/29/2015 - About 10 years ago
Identifiers
KS License # 209328
CO Medicaid 25808729
KS Medicaid 200419060A
Other 2026864 PK
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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