| NPI | 1407862287 |
|---|---|
| Doing Business As | MAIN STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LISA GALES President/Owner 620-582-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-09647) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KS 2-09647) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: KS 2-09647) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: KS 2-09647) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-08-04 |