| NPI | 1952358517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA L WILLITS Co Owner 785-841-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: KS 209912) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-03-07 |