Provider Demographics
NPI:1629465109
Name:MONARCH PHARMACY
Entity Type:Organization
Organization Name:MONARCH PHARMACY
Other - Org Name:MONARCH PHARMACY, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCALLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:573-915-7370
Mailing Address - Street 1:1601 MILITARY AVE
Mailing Address - Street 2:
Mailing Address - City:BAXTER SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:66713-2032
Mailing Address - Country:US
Mailing Address - Phone:620-856-3030
Mailing Address - Fax:620-856-3010
Practice Address - Street 1:1601 MILITARY AVE
Practice Address - Street 2:
Practice Address - City:BAXTER SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:66713-2032
Practice Address - Country:US
Practice Address - Phone:620-856-3030
Practice Address - Fax:620-856-3010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy