Organization
QUEEN ENTERPRISES L L C
Active
Other names
Queen's Bonner Springs Price Chopper #10
Organization subpart
No
Provider details
NPI number
Authorized official
TONI SHIELDS RPH (DIRECTOR OF PHARMACY)
(913) 378-6938
Entity
Organization
Contact information
Practice address
501 S COMMERCIAL DR, BONNER SPRINGS, KS 66012-9617
(913) 422-1040
(913) 422-0489
Mailing address
501 S COMMERCIAL DR, BONNER SPRINGS, KS 66012-9617
(913) 441-6988
(913) 441-1719
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-10106
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100440290D
—
KS
05
—
200409870A
—
KS
01
—
2026874
PK
—
Enumeration date
11/15/2006
Last updated
12/03/2014
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