| NPI | 1295749133 |
|---|---|
| Doing Business As | COUNTRY MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHARLES E HENSLEY Pharmacist 660-429-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 006602) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-01-25 |