| NPI | 1730108978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON HUDSON Pharmacist 620-421-2360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 08513) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |