| NPI | 1275612947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN MICHEL Owner 573-785-8218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 002239) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MO 002239) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2024-07-24 |