| NPI | 1598850232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNIE RUPP Owner 913-345-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KS 8296) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-11-19 |