| NPI | 1255594933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON C. SCHMITZ Director Of Operations 316-295-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 2-10191) |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: KS 2-10191) | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2024-08-05 |