| NPI | 1790182954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASE RICE Owner 785-877-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KS 2-13069) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: KS 2-13069) |
| 333600000X Pharmacy (Licence: KS 2-13069) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2023-07-26 |