WYCLIFF PHARMACY INC
Medical Equipment Supplier Yellow Pages
Overland Park, Kansas
Provider NPI: 1306958251
Organization Information:Organization Name: WYCLIFF PHARMACY INC
Practice Location:
10410 MASTIN ST OVERLAND PARK, KS 66212 US
Tel: 913-492-4998 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:
10410 MASTIN ST OVERLAND PARK, KS 66212 US
Tel: 913-492-4998 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | KS | 208444 |
N | 3336L0003X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 1708277 | 01 | |
DEA | AW7783120 | KS | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin