| NPI | 1205158375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM OSBORN VP 417-624-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2025-02-11 |