| NPI | 1063573178 |
|---|---|
| Doing Business As | GRANT COUNTY DRUG |
| Entity Type | Organization |
| Authorized Contact | JEFFREY MENZIE Owner 620-356-1446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 206795) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-08-29 |