NPI | 1134206006 |
---|---|
Doing Business As | MULVANE PHARMACY INC |
Entity Type | Organization |
Authorized Contact | TERRY RICHARDSON President 316-777-1601 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-09870) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-10-31 |
Last Update Date | 2014-11-13 |