| NPI | 1851302491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BARBIERI Staff Pharmacist 620-223-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 207553) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |