Provider Demographics
NPI:1760485841
Name:GESSLER DRUG CO INC
Entity Type:Organization
Organization Name:GESSLER DRUG CO INC
Other - Org Name:GESSLER WESTLINK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:316-683-1318
Mailing Address - Street 1:1834 MARC AVE
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-9435
Mailing Address - Country:US
Mailing Address - Phone:316-733-2136
Mailing Address - Fax:
Practice Address - Street 1:8903 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-3804
Practice Address - Country:US
Practice Address - Phone:316-683-1318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
KS2-083003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS6013811504Medicaid
2030648OtherPK
KS100435070AMedicaid
5311360004Medicare NSC