| NPI | 1598877441 |
|---|---|
| Doing Business As | ROBERTS PBA DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | GARY ROBERTS Owner 785-594-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 209755) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-12-06 |