| NPI | 1255594933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F DANDURAND President/Owner 316-685-2353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: KS 2-10191) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 2-10191) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2010-10-29 |