| NPI | 1184786048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUD BISCEGLIA Pharmacist 816-942-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2751) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-12-22 |