| NPI | 1821024142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA RAE HAYNES Senior Director 316-858-2124 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: KS 209945) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2022-05-24 |