| NPI | 1306569801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ROMO Owner Pharmacist In Charge 913-626-9573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |