| NPI | 1285275602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLEE SHAE LANDRETH Owner 785-259-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2023-02-20 |