WALTERSCHEID PHARMACY INC
Medical Equipment Supplier Yellow Pages
Coffeyville, Kansas
Provider NPI: 1043382831
Organization Information:Organization Name: WALTERSCHEID PHARMACY INC
Practice Location:
1001 W 11TH ST COFFEYVILLE, KS 67337 US
Tel: 620-251-2150 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1001 W 11TH ST COFFEYVILLE, KS 67337 US
Tel: 620-251-2150 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | KS | 7829 |
N | 333600000X | Suppliers Pharmacy | KS | 7829 |
Y | 3336C0003X | Suppliers Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
DEA | BM2905327 | KS | 01 |
OTHER ID NUMBER-COMMERCIAL NUMBER | 1714624 | 01 | |
100247770A | OK | 05 | |
100443690A | KS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin