| NPI | 1194822379 |
|---|---|
| Doing Business As | GEORGETOWN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DENNIS WALL HENDERSHOT President 913-362-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-10027) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 2-10027) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: KS 2-10027) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: KS 2-10027) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: KS 2-10027) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: KS 2-10027) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-03-07 |