| NPI | 1770679714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER MARIRE NEMECHEK Owner 620-276-8251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-10001) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-06-10 |