| NPI | 1184628166 |
|---|---|
| Doing Business As | FRAESE DRUG AND SODA FOUNTAIN GRILL |
| Entity Type | Organization |
| Authorized Contact | DON KAUFMAN Owner/President 620-622-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 210387) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2016-04-28 |