| NPI | 1821038373 |
|---|---|
| Doing Business As | MEDICINE STORE |
| Entity Type | Organization |
| Authorized Contact | SANOSH K. REDDY President 913-764-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 209192) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2009-08-05 |