| NPI | 1184967804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN DAVIS Pharmacist/Owner 316-204-0976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KS 2-10442) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |