NPI | 1134579923 |
---|---|
Doing Business As | KIRKSVILLE PHARMACY |
Entity Type | Organization |
Authorized Contact | TRACY TIMMERMANN Manager/AO 417-876-3313 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2016029935) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
333600000X Pharmacy | |
Enumeration Date | 2016-06-13 |
Last Update Date | 2020-04-02 |