NPI | 1770958951 |
---|---|
Doing Business As | PRXP OF KS, LLC |
Entity Type | Organization |
Authorized Contact | CHRIS WAKEFIELD CEO 412-477-7803 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KS 2-13212) |
Additional Taxonomies | 333600000X Pharmacy (Licence: MO 2016006719) |
Enumeration Date | 2015-12-14 |
Last Update Date | 2024-04-19 |