| NPI | 1326461278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI MCCUNE Office Manager 316-686-0844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: KS 2-13023) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-12-26 |