Provider Demographics
NPI:1447534243
Name:VOHS PHARMACY INC
Entity type:Organization
Organization Name:VOHS PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCKERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-980-1410
Mailing Address - Street 1:100 CRESTVIEW CIR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LOUISBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66053-4087
Mailing Address - Country:US
Mailing Address - Phone:913-837-3784
Mailing Address - Fax:913-837-3756
Practice Address - Street 1:100 CRESTVIEW CIR STE 120
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:KS
Practice Address - Zip Code:66053-6472
Practice Address - Country:US
Practice Address - Phone:913-837-3784
Practice Address - Fax:913-837-3756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0004X, 3336L0003X
KS2-103703336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2132258OtherPK