| Saint Luke's South Retail Pharmacy | |
|
12330 Metcalf Ave Overland Park KS 66213-1324 | |
| (913) 317-7604 | |
| (913) 317-7597 |
| Full Name | Saint Luke's South Retail Pharmacy |
|---|---|
| Speciality | Clinic/center |
| Location | 12330 Metcalf Ave, Overland Park, Kansas |
| Authorized Official Name and Position | Lawrence A Wagner (PHARMACY OPERATIONS MANAGER) |
| Authorized Official Contact | 9133177604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Luke's South Retail Pharmacy 12330 Metcalf Ave Overland Park KS 66213-1324 Ph: (913) 317-7604 | Saint Luke's South Retail Pharmacy 12330 Metcalf Ave Overland Park KS 66213-1324 Ph: (913) 317-7604 |
| NPI Number | 1588765937 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 06/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588765937 | NPI | - | NPPES |
| 100332210C | Medicaid | KS | |
| 603988403 | Medicaid | MO | |
| 9004128 | Other | KS | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 209147 (Kansas) | Primary |
Midwest Hospital Specialists, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10901 Granada Ln, Ste. 200, Overland Park, KS 66211 Phone: 913-660-1616 Fax: 913-660-1664 | |
Francisco M. Garcia, M D Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10640 W 87th St, Overland Park, KS 66214 Phone: 913-888-0780 Fax: 913-888-3402 | |
Millie Medical Of Kansas, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12022 Blue Valley Pkwy Ste 523, Overland Park, KS 66213 Phone: 561-476-0060 | |
Saint Lukes Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 W 95th St, Overland Park, KS 66212 Phone: 913-323-8880 | |
Optum Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6860 W 115th St, Overland Park International Trade, Overland Park, KS 66211 Phone: 800-645-9656 | |
Optum Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6860 W 115th St, Overland Park, KS 66211 Phone: 913-253-0601 | |
Spira Innovations, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Spira Care Overland Park 7341 W. 133rd St, Overland Park, KS 66213 Phone: 191-329-7747 |