NPI | 1235291121 |
---|---|
Doing Business As | VILLAGE HEALTHMART PHARMACY |
Entity Type | Organization |
Authorized Contact | MICHAEL W ALLEN Owner 573-346-3396 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MO 004583) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2008-05-06 |