NPI | 1770695629 |
---|---|
Doing Business As | WISE DRUG INC |
Entity Type | Organization |
Authorized Contact | STEPHEN MAYO President 785-421-5751 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-09106) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2025-09-19 |