| NPI | 1073551495 |
|---|---|
| Doing Business As | MATT'S MEDICINE STORE |
| Entity Type | Organization |
| Authorized Contact | CHARLES MATTHEW MALLINSON Member 816-833-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 004747) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-12-08 |