Steven G Charles
Organization Active NPI Community/Retail Pharmacy · Oswego, KS
NPI 1124130075 · NPPES record last updated Jun 22, 2011
Key facts
- NPI
- 1124130075
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 206649 (KS)
- Legal business name
- STEVEN G CHARLES
- Practice address
- 413 Commercial St
Oswego, KS 67356-2017 - Phone
- (620) 795-2233
- Fax
- (620) 795-4910
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Steven Charles, RPH
- Title
- Owner
- Phone
- (620) 795-2233
Practitioners 1
-
Amelia Jolynn Hartmann, PHARMD
National Provider Directory
Locations
413 Commercial St
Oswego, KS 67356
Phone (620) 795-2233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 206649 | KS | Yes |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
413 Commercial St
Oswego, KS 67356-2017
Mailing address
413 Commercial St
Oswego, KS 67356-2017
Phone (620) 795-2233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1711541 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 100438590A | Medicaid | KS |
Other names
- OSWEGO DRUG STORE
Other providers in Oswego, KS
- Oswego Usd504
- Patricia Charlene Ridings
- Rivers Edge Senior Living Inc
- Jaylee Sanders
- St. John'S Medical Group
All providers in Oswego, KS · Community/Retail Pharmacy in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.