| NPI | 1528023199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE WILLIAM GERBER Owner/Manager 316-945-7455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KS 2-10034) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |