Cah Acquisition Company 3 LLC
Organization Active NPI Pharmacy · Horton, KS
NPI 1710161583 · NPPES record last updated Jul 16, 2018
Key facts
- NPI
- 1710161583
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 2-09829 (KS)
- Legal business name
- CAH ACQUISITION COMPANY 3 LLC
- Practice address
- 1903 Euclid Ave
Horton, KS 66439 - Phone
- (785) 879-4325
- Fax
- (785) 879-4398
- NPI assigned
- Dec 28, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- CAH ACQUISITION COMPANY 3 LLC
Authorized official
- Name
- Tyrone L Compton
- Title
- Ceo
- Phone
- (785) 879-4357
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Cah Acquisition Company 3 LLC
- Part of
- Cah Acquisition Company 3 LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2-09829 | KS | Yes |
Addresses
Primary practice location
1903 Euclid Ave
Horton, KS 66439
Mailing address
240 W 18TH Street
Horton, KS 66439-1245
Phone (785) 879-4357
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100069780D | Medicaid | KS |
Other names
- Horton Pharmacy
Other providers in Horton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2018. 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.