| NPI | 1083838452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN H MICHEL Owner 573-785-8219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MO 2004027988) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |