| NPI | 1841302791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BOMBARDIER Pharmacist In Charge 785-527-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KS 210137) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-05-06 |