| NPI | 1770311854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN PARKER TAYLOR General Manager 620-442-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |