| NPI | 1083729180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE ARENSON 3 Rd Party Admin. 913-573-1294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MO 6107) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-07-27 |