| NPI | 1457760878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENTON FORESEE Director Of Pharmacy 913-749-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 2014028412) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2025-06-18 |