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Contact Information

HODGEMAN COUNTY PHARMACY LLC
519 MAIN STREET
JETMORE, KS67854
 Phone: 620-357-8305
 Fax: 620-855-2052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HODGEMAN COUNTY PHARMACY LLC

NPI Number 1013460922
LBN Legal business name HODGEMAN COUNTY PHARMACY LLC
Authorized official JAMES COAST - (RPH)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2016
Last updated 10/19/2016 - About 10 years ago
Identifiers
KS License # 2-100543
KS Medicaid 201138190A
Other 2162209 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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