Organization
STARK APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY VANE KENSHALO RPH. (PHARMACIST-IN-CHARGE)
(913) 541-5700
Entity
Organization
Contact information
Practice address
12200 W 106TH ST, OVERLAND PARK, KS 66215-2300
(913) 541-5700
(913) 541-6028
Mailing address
12200 W 106TH ST, OVERLAND PARK, KS 66215-2300
(913) 541-5700
(913) 541-6028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9415
KS
Other
Enumeration date
10/20/2005
Last updated
08/22/2020
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