| NPI | 1306239538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEW R ENNS Staff/Consulting Pharmacist 316-265-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-12291) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |