Provider Demographics
NPI:1851096895
Name:KOECHNER PHARMACIES, LLC
Entity Type:Organization
Organization Name:KOECHNER PHARMACIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE & ADMIN.
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:EBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-288-2125
Mailing Address - Street 1:807 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-2710
Mailing Address - Country:US
Mailing Address - Phone:913-367-5252
Mailing Address - Fax:
Practice Address - Street 1:807 MAIN ST
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-2710
Practice Address - Country:US
Practice Address - Phone:913-367-5252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy