Fraese Drug And Soda Fountain Grill

LBN: Fraese Drug Company Inc
Fraese Drug And Soda Fountain Grill is an health care organization with primary practice located at 25 N Main St , Hutchinson KS 67501-5216. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Fraese Drug Company Inc can be contacted via phone (620) 662-4498, or through Kaufman, Don via phone (620) 622-4477.

Contact Information

Primary practice address
25 N Main St Hutchinson KS 67501-5216
Fax:
Website:
Authorized official contact:
Name: Kaufman, Don RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 210387 Kansas

Profile Details

NPI number 1184628166
LBN Legal business name Fraese Drug Company Inc
DBA Doing business as Fraese Drug And Soda Fountain Grill
Authorized official Kaufman, Don RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2005
Last updated Apr 28th, 2016 - about 8 years ago

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 1184628166 NPPES
Kansas MEDICAID 100436240A
Kansas Other 2032542

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