Provider Demographics
NPI:1023666708
Name:PRICE PHARMACIES INC
Entity type:Organization
Organization Name:PRICE PHARMACIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARED
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-221-0080
Mailing Address - Street 1:201 N BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-1601
Mailing Address - Country:US
Mailing Address - Phone:316-788-5533
Mailing Address - Fax:316-788-7432
Practice Address - Street 1:201 N BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-1601
Practice Address - Country:US
Practice Address - Phone:316-788-5533
Practice Address - Fax:316-788-7432
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRICE PHARMACIES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-27
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS2-110339OtherKANSAS BOARD OF PHARMACY
KS200674460GMedicaid
KS200674460GMedicaid