| NPI | 1477831253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY HODGSON Pharmacist In Charge 785-286-2557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KS 2-10354) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2018-07-19 |