Organization
KENNETH C MOYER
Active
Other names
THE MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MOYER RPH (OWNER)
(913) 341-7244
Entity
Organization
Contact information
Practice address
7222 W 80TH ST, OVERLAND PARK, KS 66204-3718
(913) 341-7244
(913) 341-2664
Mailing address
7222 W 80TH ST, OVERLAND PARK, KS 66204-3718
(913) 341-7244
(913) 341-2664
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-08677
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2026468
PK
—
Enumeration date
01/23/2007
Last updated
07/15/2015
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