| NPI | 1194084772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED FARNSWORTH President 573-632-5001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 2012014230) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |