| NPI | 1700991809 |
|---|---|
| Doing Business As | PRICE CHOPPER PHARMACY #11 |
| Entity Type | Organization |
| Authorized Contact | JANICE ARENSON Third Party Administrator 913-573-1294 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2001025634) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-10-09 |