| NPI | 1013081090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SUMMERS President 660-885-3034 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MO 2016010547) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-07-10 |