| NPI | 1932182664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI D MCCUNE Office Manager 316-685-2353 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: KS 2-09708) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2020-06-05 |