| NPI | 1174882864 |
|---|---|
| Doing Business As | MIZZOU PHARMACY - CRMC |
| Entity Type | Organization |
| Authorized Contact | FREDERIC A. RANSOM CEO 573-884-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 2012014230) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2024-01-04 |