NPI | 1083709026 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL CONLIN Owner Pharmacist 785-228-9740 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: KS 2-09414) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: KS 2-09414) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2023-03-07 |