NPI | 1497376503 |
---|---|
Doing Business As | THE MULVANE PHARMACY |
Entity Type | Organization |
Authorized Contact | CHADWICK L BALL Owner/PIC 316-777-1601 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2020-04-29 |
Last Update Date | 2020-05-13 |