NPI | 1053425025 |
---|---|
Doing Business As | ASH GROVE PHARMACY |
Entity Type | Organization |
Authorized Contact | WHITNEY GROVE Pres 417-751-2111 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 004465) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy Long Term Care Pharmacy | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2021-06-09 |