| NPI | 1063886141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY BOWLES Health & Wellness Market Manager 417-825-3075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2009013473) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |