| NPI | 1700395878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE JOHNSON Assistant Director 785-760-3318 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KS 2103863) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2022-04-01 |