Gray Drug & Fountain

LBN: Gray Drug & Fountain Inc
Gray Drug & Fountain is an health care organization with primary practice located at 100 S Mill St , Beloit KS 67420-3237. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gray Drug & Fountain Inc can be contacted via phone (785) 534-1200, or through Gray, Patrick via phone (785) 534-1200.

Contact Information

Primary practice address
100 S Mill St Beloit KS 67420-3237
Phone: (785) 534-1200
Fax: (785) 534-1202
Website:
Map and Directions
Authorized official contact:
Name: Gray, Patrick PHARM D
Phone: (785) 534-1200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2-10445 Kansas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1255774055
LBN Legal business name Gray Drug & Fountain Inc
DBA Doing business as Gray Drug & Fountain
Authorized official Gray, Patrick PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2013
Last updated Jun 17th, 2014 - about 10 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 1255774055 NPPES
Kansas MEDICAID 201072760B
Kansas Other 2140045
Kansas MEDICAID 201072760A

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