ACTIVE LIFESTYLE PHARMACY LLC is a community/retail pharmacy pharmacy in Overland Park, KS. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. ACTIVE LIFESTYLE PHARMACY LLC NPI is 1811536683. The provider is registered as an organization entity type.
The provider's business location address is:
7800 FOSTER ST
OVERLAND PARK, KS
ZIP 66204-955
Phone: (913) 730-8731
Fax: (844) 842-0014
The provider's authorized official is Jacob M Lickteig .
The authorized official title is President and has the following contact phone number (785) 760-3839.
The CLIA number assigned to this NPI record is 17D2205249 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/27/2019 and was last updated on 12/27/2019.