| NPI | 1952323958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE CARPENTER Chief Pharmacist 785-966-8266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: KS 2-2546) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-01-23 |