| NPI | 1205986213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN BROMSTEDT Owner 573-447-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO PS006548) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-07-19 |