| NPI | 1790068591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON SMITH Pharmacy Services Manager 913-541-4651 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 2011017790) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2013-10-04 |