| NPI | 1336279645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN KEITH HARRIS Owner 573-888-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 5953) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-07-12 |