| NPI | 1144332149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE WASINGER Owner Pharmacist 660-707-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2003006242) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-03-07 |