| NPI | 1558613182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMR ABUALNADI Pharmacist 316-722-0741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: KS 1-15458) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |