| NPI | 1316936552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY VANE KENSHALO Pharmacist In Charge 913-541-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 9415) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |