| NPI | 1215049507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M WILCOX Owner/Pharmacist 785-843-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 207707) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 207707) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |