Montezuma Drug
LBN: Thomas J Brown Jr
Montezuma Drug is an health care organization with primary practice located at 300 N Aztec , Montezuma KS 67867-0128. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Thomas J Brown Jr can be contacted via phone (620) 846-2202, or through Brown, Thomas J via phone (620) 846-2202.
Contact Information
Primary practice address
300 N Aztec
Montezuma KS 67867-0128
Phone: (620) 846-2202
Fax: (620) 846-7130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 203995 | Kansas |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 203995 | Kansas |
| Suppliers / Pharmacy | 333600000X | 108493 | Kansas |
Profile Details
| NPI number | 1184733396 |
|---|---|
| LBN Legal business name | Thomas J Brown Jr |
| DBA Doing business as | Montezuma Drug |
| Authorized official | Brown, Thomas J RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 17th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184733396 | NPPES |
| Kansas | MEDICAID | 100445210A |
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