NPI | 1336223460 |
---|---|
Doing Business As | WHALEY'S SOUTHWEST PHARMACY |
Entity Type | Organization |
Authorized Contact | TREVOR ISRINGHAUSEN Managing Pharmacist 573-634-3606 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2003029844) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-10-25 |
Last Update Date | 2017-01-18 |