| NPI | 1962658633 |
|---|---|
| Doing Business As | INDEPENDENCE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TERRY L. SCOTT Pres 620-331-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-10199) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2019-12-10 |