| NPI | 1639828858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ILEEEN GATLIN Office Manager 620-672-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |