| 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 |