| NPI | 1275648370 |
|---|---|
| Doing Business As | SUN FRESH PHARMACY #41 |
| Entity Type | Organization |
| Authorized Contact | JANICE ARENSON Third Party Adminitrator 913-573-1294 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-09789) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-07-30 |