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Contact Information

CANDLEWOOD PHARMACY, LC
3254 KIMBALL AVE
MANHATTAN, KS66503-2157
 Phone: 785-776-4100
 Fax: 785-776-1039
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for CANDLEWOOD PHARMACY, LC

NPI Number 1770684557
LBN Legal business name CANDLEWOOD PHARMACY, LC
Authorized official AMY HELLERICH - (OWNER/PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2006
Last updated 10/24/2023 - About 3 years ago
Identifiers
KS License # 2-09136
KS Medicaid 100325350A
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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