Provider Information for 1669432456
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PHARMACEUTICAL ASSOCIATES II
Other Names:Doing Business As:SABETHA HEALTHMARTOrganization Subpart: NO
NPI: 1669432456
Last Updated: 2024-05-31
Certification Date: 2024-05-26
Certification Date: 2024-05-26
Details
| Name | Value | ||||||||||||||||||||||||
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| NPI | 1669432456 | ||||||||||||||||||||||||
| Enumeration Date | 2006-03-24 | ||||||||||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||
| Authorized Official Information | Name: JULIE K HAMMES Title: Partner/Controller Phone: 7855485616 | ||||||||||||||||||||||||
| Mailing Address | 302 EDWARD ST ATTN: JULIE HAMMES SENECA, KS 66538-1829 United States Phone: 785-548-5616 | Fax:785-284-3040 | ||||||||||||||||||||||||
| Primary Practice Address | 934 MAIN ST SABETHA, KS 66534-1829 United States Phone: 785-284-3414 | Fax:785-284-3040 | ||||||||||||||||||||||||
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