| NPI | 1437838257 |
|---|---|
| Other Name | PRAIRIESTAR PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A IRELAND Chief Human Resource Officer 620-663-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |