| NPI | 1194725804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS BOND Owner 573-392-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 028248) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MO 028248) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2025-09-11 |