| NPI | 1659462489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURTON J CROWELL Pharmacist/Owner 620-231-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 204635) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 204635) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-03-07 |