Provider Demographics
NPI:1548981228
Name:B&K MEDICAL OF JUNCTION CITY LLC
Entity type:Organization
Organization Name:B&K MEDICAL OF JUNCTION CITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEROY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-827-4455
Mailing Address - Street 1:601 E IRON AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3035
Mailing Address - Country:US
Mailing Address - Phone:785-827-4455
Mailing Address - Fax:
Practice Address - Street 1:1310 W ASH ST STE D
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-3466
Practice Address - Country:US
Practice Address - Phone:785-762-2983
Practice Address - Fax:785-238-2685
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:B & K PRESCRIPTION SHOP INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-09
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies