| NPI | 1306324173 |
|---|---|
| Former Legal Business Name | JOHN'S RX SOUTHWEST LLC |
| Doing Business As | ALLIANT LTC |
| Entity Type | Organization |
| Authorized Contact | MARK MCMULLIN Owner 573-290-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2021-10-13 |