| NPI | 1265644827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITT N HASSELBRING President 660-463-2519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 2005030075) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-10-02 |