| NPI | 1265278352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SPENCER CREITZ Senior VP, Chief Compliance Officer 620-240-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |