| NPI | 1891796017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN COUTURE Owner 785-527-2146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KS 2-06830) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2015-06-11 |