NPI | 1164164976 |
---|---|
Entity Type | Organization |
Authorized Contact | ABRAHAM FUNK Owner 573-334-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2022-04-12 |
Last Update Date | 2022-04-22 |