| NPI | 1124566989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARRED DUDDING Pharmacist In Charge 573-441-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MO 2017002680) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |