Medical Park Pharmacy of Great Bend PA
NPI #1861564437 in Great Bend, Kansas
Provider Information
- NPI Number
- 1861564437
- Entity Type
- Organization
- Organization Name
- Medical Park Pharmacy of Great Bend PA
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Feb 20, 2020
Practice Location
- Address
- 1309 POLK
- City
- Great Bend
- State
- Kansas
- ZIP Code
- 67530-3644
- Phone
- (620) 792-1221
Authorized Official
- Name
- MR. KEVIN LAVERN REGIER, RPH
- Title
- RPH PRESIDENT
- Phone
- (620) 792-1221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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