Kellstrom Pharmacy

LBN: Ad Astra Pharmacy Llc
Kellstrom Pharmacy is an health care organization with primary practice located at 1860 Claflin Road , Manhattan KS 66502-3492. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Ad Astra Pharmacy Llc can be contacted via phone (785) 776-1200, or through Goodlett, Milka via phone (785) 776-1200.

Contact Information

Primary practice address
1860 Claflin Road Manhattan KS 66502-3492
Fax: (785) 776-1115
Website:
Authorized official contact:
Name: Goodlett, Milka

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 8034 Kansas

Profile Details

NPI number 1144253378
LBN Legal business name Ad Astra Pharmacy Llc
DBA Doing business as Kellstrom Pharmacy
Authorized official Goodlett, Milka
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated May 24th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144253378 NPPES
Kansas MEDICAID 100437570A
Kansas Other 100437570B
Kansas Other 1708443

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