Provider Demographics
NPI:1427120369
Name:D & B PHARMACY
Entity type:Organization
Organization Name:D & B PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:I
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-635-2322
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:721 MAIN STREET
Mailing Address - City:ASHLAND
Mailing Address - State:KS
Mailing Address - Zip Code:67831-0308
Mailing Address - Country:US
Mailing Address - Phone:620-635-2322
Mailing Address - Fax:
Practice Address - Street 1:721 MAIN STREET
Practice Address - Street 2:719 MAIN STREET
Practice Address - City:ASHLAND
Practice Address - State:KS
Practice Address - Zip Code:67831-0308
Practice Address - Country:US
Practice Address - Phone:620-635-2322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2019-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS333600000X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100444500AMedicaid
KS100444500AMedicaid
4109890001Medicare PIN