NPI | 1619966272 |
---|---|
Doing Business As | PRESCRIPTION SHOP INC |
Entity Type | Organization |
Authorized Contact | ALAN DEFEVER Owner 913-515-0462 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 209131) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2005-10-17 |
Last Update Date | 2016-04-11 |