| NPI | 1144247651 |
|---|---|
| Doing Business As | KELLSTROM PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | MILKA GOODLETT Manager/Owner 785-776-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: KS 1-11676) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-05-24 |