| NPI | 1821193962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED KARBAN R Ph 316-838-4249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 6654) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |