NPI | 1104901768 |
---|---|
Entity Type | Organization |
Authorized Contact | KENT RICHARDSON President 316-773-0412 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 209909) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-08-22 |