| NPI | 1558360818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN KENT RAUCH President/Owner 620-251-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2022-07-21 |