Provider Demographics
NPI:1982803235
Name:HARPER PHARMACY
Entity Type:Organization
Organization Name:HARPER PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:BRUMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-842-5119
Mailing Address - Street 1:710 W 14TH STREET
Mailing Address - Street 2:
Mailing Address - City:HARPER
Mailing Address - State:KS
Mailing Address - Zip Code:67058
Mailing Address - Country:US
Mailing Address - Phone:620-842-5119
Mailing Address - Fax:620-842-3184
Practice Address - Street 1:710 WEST 14TH STREET
Practice Address - Street 2:
Practice Address - City:HARPER
Practice Address - State:KS
Practice Address - Zip Code:67058
Practice Address - Country:US
Practice Address - Phone:620-842-5119
Practice Address - Fax:620-842-3184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2-101323336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy