Mainstreet Drug PA

NPI #1104013713 in Osborne, Kansas

Provider Information

NPI Number: 1104013713
Entity Type: Organization
Organization Name: Mainstreet Drug PA
Primary Specialty: Pharmacy
Enumeration Date: Sep 27, 2007
Last Updated: Oct 2, 2024

Practice Location

Address: 103 W MAIN ST
City: Osborne
State: Kansas
ZIP Code: 67473-2402
Phone: (785) 346-2136

Authorized Official

Name: KAYLENE HELLER
Title: PHRMD
Phone: (785) 346-2136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X

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