| NPI | 1194185512 |
|---|---|
| Doing Business As | CLEARWATER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NANCY PETERSON BRADFIELD President 785-466-6810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KS 2-13234) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2021-11-22 |