Gericare Ltc

LBN: Iola Pharmacy Inc
Gericare Ltc is an health care organization with primary practice located at 113 E Madison Ave , Iola KS 66749-3330. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Iola Pharmacy Inc can be contacted via phone (620) 365-5555, or through Walden, William via phone (620) 365-5555.

Contact Information

Primary practice address
113 E Madison Ave Iola KS 66749-3330
Phone: (620) 365-5555
Fax: (620) 365-6722
Website:
Map and Directions
Authorized official contact:
Name: Walden, William RPH
Phone: (620) 365-5555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 209923 Kansas
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1255445235
LBN Legal business name Iola Pharmacy Inc
DBA Doing business as Gericare Ltc
Authorized official Walden, William RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Jan 19th, 2017 - 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 1255445235 NPPES
Other 2027270 PK
MEDICAID 200259940A PK

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