| NPI | 1295075810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIE D PHILLIPS Pharmacist/Owner 417-766-9893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2013005206) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2023-02-28 |