| NPI | 1699866202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL R. WAGNER PIC Owner,Mgr. 785-282-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-07023) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-06-17 |