| NPI | 1295890739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS BOND Pharmacist 573-392-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 08646812) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |