ACTIVE LIFESTYLE PHARMACY LLC

OVERLAND PARK, KS
NPI1811536683
Entity TypeOrganization
Authorized ContactJACOB M LICKTEIG
President
785-760-3839
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date2019-12-27
Last Update Date2019-12-27
Business Address
ACTIVE LIFESTYLE PHARMACY LLC
7800 FOSTER ST
OVERLAND PARK, KS 66204-2955
Phone number: 913-730-8731
Mailing Address
ACTIVE LIFESTYLE PHARMACY LLC
7800 FOSTER ST
OVERLAND PARK, KS 66204-2955
Phone number: 913-730-8731
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