| NPI | 1265547368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE ARENSON Pharmacy Support 913-573-1294 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 5643) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2017-04-04 |