NPI 1013460922

Hodgeman County Pharmacy LLC

Organisation Pharmacy Jetmore, KS

Practice location

Address: 519 Main Street, Jetmore, KS 67854
Phone: (620) 357-8305
Fax: (620) 855-2052
Mailing address: PO Box 782, Cimarron, KS 67835-0782

Authorised official

Name: James Coast
Title: Rph
Phone: (620) 855-2055

Registered specialties (2)

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence 2-100543 (KS)

Other Pharmacy providers in Kansas →

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1013460922
Entity type: Organization
NPI issued: 27 Jul 2016
Record last updated: 19 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.