Jeffrey L Menzie

Organization Active NPI Community/Retail Pharmacy · Ulysses, KS

NPI 1063573178 · NPPES record last updated Aug 29, 2011

Key facts

NPI
1063573178
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
206795 (KS)
Legal business name
JEFFREY L MENZIE
Practice address
219 N Main St
Ulysses, KS 67880-2130
Phone
(620) 356-1446
Fax
(620) 356-5381
NPI assigned
Dec 12, 2006
Organization subpart
No

Authorized official

Name
Jeffrey Menzie, RPH
Title
Owner
Phone
(620) 356-1446

National Provider Directory

Locations

219 N Main St
Ulysses, KS 67880
Phone (620) 356-1446

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 206795 KS Yes
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

219 N Main St
Ulysses, KS 67880-2130

Mailing address

PO Box 925
Ulysses, KS 67880-0925
Phone (620) 356-1446

Other identifiers

IdentifierTypeStateIssuer
1705702OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names

  • GRANT COUNTY DRUG Doing business as

Other providers in Ulysses, KS

All providers in Ulysses, KS · Community/Retail Pharmacy in Kansas

Sources for this page

Verify at the official NPI Registry.