Defever Osborn Drug
Pharmacist in Independence, KS. Organization (NPI-2).
NPI number1790779460
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790779460
- Entity type
- Organization (NPI-2)
- Legal business name
- Defever Osborn Drug
- Organization subpart
- No
- Enumeration date
- Sep 8, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 209687 | KS | Yes |
Practice location
205 N Penn AveIndependence, KS 67301-3323
Phone 620-331-4200 · Fax 620-331-8220
Mailing address
205 N Penn AveIndependence, KS 67301-3323
Phone 620-331-4200 · Fax 620-331-8220
Authorized official
Wendy D. Derrick
Pharmacy Manager
6203314200
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