| NPI | 1801901905 |
|---|---|
| Doing Business As | HEN HOUSE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LISA MARTIN 3 Rd Party Admin 913-573-1294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: KS 9650) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-10-10 |