Central Care, PA

NPI #1346869088 in Liberal, Kansas

Provider Information

NPI Number
1346869088
Entity Type
Organization
Organization Name
Central Care, PA
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Apr 13, 2020
Last Updated
Apr 13, 2020

Practice Location

Address
305 W 15TH ST STE 203
State
Kansas
ZIP Code
67901-2455
Phone
(620) 624-4700

Authorized Official

Name
STACY CLOYD
Title
PROVIDER ENROLLMENT SPECIALIST
Phone
(785) 823-0633

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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