NPI | 1104873769 |
---|---|
Doing Business As | MEDICAL PHARMACY PA |
Entity Type | Organization |
Authorized Contact | JOSEPH GILLILAND Owner 785-364-2114 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-10232) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-05-28 |
Last Update Date | 2016-06-29 |