NPI | 1609634823 |
---|---|
Entity Type | Organization |
Authorized Contact | JACOB EDWARDS Officer 785-945-3711 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy Community/Retail Pharmacy | |
3336C0004X Pharmacy Compounding Pharmacy | |
3336S0011X Pharmacy Specialty Pharmacy | |
Enumeration Date | 2024-03-12 |
Last Update Date | 2024-03-12 |