Damm, Gary

Damm, Gary is an individual health care provider with primary practice located at 1101 N Woodlawn Blvd , Derby KS 67037-2714. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Damm, Gary can be contacted via phone (316) 788-6669.

Contact Information

Primary practice address
1101 N Woodlawn Blvd Derby KS 67037-2714
Phone: (316) 788-6669
Fax: (316) 788-3570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2-07934 Kansas

Profile Details

NPI number 1275687972
LBN Legal business name Damm, Gary
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275687972 NPPES
Kansas MEDICAID 100437990A

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