| NPI | 1174929723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M HILS Pharmacy Manager/Owner 660-263-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 2014039043) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: MO 2014039043) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2022-06-21 |