| NPI | 1801964606 |
|---|---|
| Doing Business As | CREATIVE HEALTH PHARMACY OF CANEY |
| Entity Type | Organization |
| Authorized Contact | GAVIN T DULEY President 620-879-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2023-07-11 |