Provider Demographics
NPI:1316121536
Name:BACHMAN DRUG, INC.
Entity type:Organization
Organization Name:BACHMAN DRUG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BACHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:620-873-2641
Mailing Address - Street 1:129 S FOWLER
Mailing Address - Street 2:PO BOX 280
Mailing Address - City:MEADE
Mailing Address - State:KS
Mailing Address - Zip Code:67864
Mailing Address - Country:US
Mailing Address - Phone:620-873-2641
Mailing Address - Fax:620-873-2388
Practice Address - Street 1:129 S FOWLER
Practice Address - Street 2:
Practice Address - City:MEADE
Practice Address - State:KS
Practice Address - Zip Code:67864
Practice Address - Country:US
Practice Address - Phone:620-873-2641
Practice Address - Fax:620-873-2388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS12996332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies