NPI | 1770684557 |
---|---|
Doing Business As | CANDLEWOOD HEALTH MART PHARMACY |
Entity Type | Organization |
Authorized Contact | AMY HELLERICH Owner/Pharmacist In Charge 785-776-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-09136) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS 2-09136) |
3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KS 2-09136) | |
Enumeration Date | 2006-09-26 |
Last Update Date | 2023-10-24 |