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Active Lifestyle Pharmacy LLC — NPI 1811536683, Overland Park, KS | NPI Central

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OrganizationActive

Active Lifestyle Pharmacy LLC

NPI 1811536683 · Community/Retail Pharmacy · Overland Park, KS

Provider details

NPI number: 1811536683
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Authorized official: Jacob Lickteig, President

Practice location

7800 Foster St

Overland Park, KS 66204-2955

Phone: (913) 730-8731

Fax: (844) 842-0014

More KS providers

Mailing address

7800 Foster St

Overland Park, KS 66204-2955

Registry dates

Enumerated: 2019-12-27
Last updated: 2019-12-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.