| NPI | 1982764197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER A. BALES President 620-584-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 7399) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |