National Provider Identifier Database

HODGEMAN COUNTY PHARMACY LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

HODGEMAN COUNTY PHARMACY LLC
519 MAIN STREET
JETMORE, KS67854
Phone: 620-357-8305
Fax: 620-855-2052
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for HODGEMAN COUNTY PHARMACY LLC

NPI Number 1013460922
Legal business name
LBN
HODGEMAN COUNTY PHARMACY LLC
Authorized official JAMES COAST - (RPH)
Entity Organization
Organization subpart No
Enumeration date 07/27/2016
Last updated 10/19/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • KS License #: 2-100543
  • KS Medicaid: 201138190A
  • Other: 2162209 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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