| NPI | 1548604523 |
|---|---|
| Doing Business As | GRANT COUNTY DRUG |
| Entity Type | Organization |
| Authorized Contact | TYSON MULLEN Pharmacist/Owner 620-356-1446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 210447) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2017-02-23 |