| NPI | 1497741748 |
|---|---|
| Doing Business As | MANKATO PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LYLE R DAUNER President 785-378-3183 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KS 7127) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-01-08 |