NPI | 1114377074 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANE MICHAEL BECKER Owner/Pharmacist/PIC 417-635-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2016-06-21 |
Last Update Date | 2016-06-21 |