Creative Health Pharmacy Of Caney

LBN: Caney Pharmacy Inc
Creative Health Pharmacy Of Caney is an health care organization with primary practice located at 208 W 4Th Ave , Caney KS 67333-1462. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Caney Pharmacy Inc can be contacted via phone (620) 879-5822, or through Duley, Gavin T via phone (620) 879-5822.

Contact Information

Primary practice address
208 W 4Th Ave Caney KS 67333-1462
Phone: (620) 879-5822
Fax: (620) 879-2721
Website:
Map and Directions
Authorized official contact:
Name: Duley, Gavin T
Phone: (620) 879-5822

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1801964606
LBN Legal business name Caney Pharmacy Inc
DBA Doing business as Creative Health Pharmacy Of Caney
Authorized official Duley, Gavin T
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 11th, 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 1801964606 NPPES
Other 2155967 PK
MEDICAID 100439890B PK
MEDICAID 100846330A PK

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