| NPI | 1629572730 |
|---|---|
| Doing Business As | PRESCRIPTION SHOP INC |
| Entity Type | Organization |
| Authorized Contact | ALAN DEFEVER Pres 913-515-0462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: KS 209131) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |