| NPI | 1104349554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RZIHA Owner 785-945-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-103438) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: KS 2-103438) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KS 2-103438) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: KS 2-103438) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2021-02-17 |