| NPI | 1003307273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDIE KAY KUEKER Owner Member 316-633-1797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KS 2-105745) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-105745) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2020-01-24 |