| NPI | 1073546347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA MARIE DOANE Owner/PIC 785-454-6614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 209402) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2021-10-09 |