| NPI | 1720391055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BURNS Owner 785-448-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2021-03-15 |