| NPI | 1497519508 |
|---|---|
| Doing Business As | GRANT COUNTY DRUG LTC |
| Entity Type | Organization |
| Authorized Contact | TYSON MULLEN Owner/Pharm D 620-356-1446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |