| NPI | 1609001395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBUBE OTUONYE Owner 316-665-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-10326) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-05-25 |
| Last Update Date | 2018-06-05 |