Organization
QUEEN-MORRIS VENTURES L L C
Active
Organization
QUEEN-MORRIS VENTURES L L C
Active
Other names
Queen's Price Chopper #4
Organization subpart
No
Provider details
NPI number
Authorized official
TONI SHIELDS RPH (DIRECTOR OF PHARMACY)
(913) 378-6938
Entity
Organization
Contact information
Practice address
8686 ANTIOCH RD, OVERLAND PARK, KS 66212-3648
(913) 642-4140
(913) 648-0100
Mailing address
8686 ANTIOCH RD, OVERLAND PARK, KS 66212-3648
(913) 642-4140
(913) 648-0100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-08955
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100440080C DME
—
KS
05
—
200402260A
—
KS
01
—
2026150
PK
—
Enumeration date
11/21/2006
Last updated
12/02/2016
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