| NPI | 1639245731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BAUER PIC 620-251-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: KS 205074) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-10-10 |