| NPI | 1821478140 |
|---|---|
| Doing Business As | SCP- PRAIRIE STAR PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FRANKLIN HARRIS General Manager 316-945-7455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KS 2-13175) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2016-07-05 |