| NPI | 1083057038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER WOODS Owner/Operator 913-766-1382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: KS 2-104444) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |