Provider Demographics
NPI:1629617188
Name:LEEKER'S FAMILY FOODS INC.
Entity Type:Organization
Organization Name:LEEKER'S FAMILY FOODS INC.
Other - Org Name:LEEKER'S FAMILY PHARMACY VC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-744-3948
Mailing Address - Street 1:6223 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67219
Mailing Address - Country:US
Mailing Address - Phone:316-744-3948
Mailing Address - Fax:316-744-9801
Practice Address - Street 1:225 S MERIDIAN
Practice Address - Street 2:
Practice Address - City:VALLEY CENTER
Practice Address - State:KS
Practice Address - Zip Code:67147
Practice Address - Country:US
Practice Address - Phone:316-744-3948
Practice Address - Fax:316-744-9801
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEEKER'S FAMILY FOODS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-02
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS2-111066OtherPHARMACY REGISTRATION NUMBER