Provider Demographics
NPI:1477364123
Name:ANDERIS APOTHECARY LLC
Entity type:Organization
Organization Name:ANDERIS APOTHECARY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLODDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-889-7181
Mailing Address - Street 1:601 SW CORPORATE VW
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615-1244
Mailing Address - Country:US
Mailing Address - Phone:785-271-8000
Mailing Address - Fax:
Practice Address - Street 1:601 SW CORPORATE VW
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66615-1244
Practice Address - Country:US
Practice Address - Phone:785-271-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy