Candlewood Health Mart Pharmacy
LBN: Candlewood Pharmacy, Lc
Candlewood Health Mart Pharmacy is an health care organization with primary practice located at 3254 Kimball Ave , Manhattan KS 66503-2157. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Candlewood Pharmacy, Lc can be contacted via phone (785) 776-4100, or through Hellerich, Amy via phone (785) 776-4100.
Contact Information
Primary practice address
3254 Kimball Ave
Manhattan KS 66503-2157
Phone: (785) 776-4100
Fax: (785) 776-1039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 2-09136 | Kansas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2-09136 | Kansas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 2-09136 | Kansas |
Profile Details
| NPI number | 1770684557 |
|---|---|
| LBN Legal business name | Candlewood Pharmacy, Lc |
| DBA Doing business as | Candlewood Health Mart Pharmacy |
| Authorized official | Hellerich, Amy PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Oct 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770684557 | NPPES |
| Kansas | MEDICAID | 100325350A |
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