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Fredonia Pharmacy Inc — NPI 1366200586, Fredonia, KS | NPI Central

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NPI 1366200586

OrganizationActive

Fredonia Pharmacy Inc

NPI 1366200586 · Long Term Care Pharmacy · Fredonia, KS

Provider details

NPI number: 1366200586
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Jacob Edwards, Officer(620) 378-4422

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers
Pharmacy333600000X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers
Compounding Pharmacy3336C0004X
Suppliers
Specialty Pharmacy3336S0011X
Suppliers

Practice location

628 Madison St

Fredonia, KS 66736-1338

Phone: (620) 378-4422

Approximate (ZIP-level) locationGet directions

More KS providers

Mailing address

628 Madison St

Fredonia, KS 66736-1338

Other names (DBA / former)

Doing business as: Fredonia Pharmacy Ltc

Registry dates

Enumerated: 2024-03-12
Last updated: 2024-03-12
Certified: 2024-03-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.