| NPI | 1134282429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SKYE POWERS Rph 573-759-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 5534) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-04-24 |