| NPI | 1255445235 |
|---|---|
| Doing Business As | GERICARE LTC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM WALDEN Secretary 620-365-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: KS 209923) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336M0003X Pharmacy Managed Care Organization Pharmacy | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2017-01-19 |