| NPI | 1336285121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BRUNER Owner 417-235-3139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 002253) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2023-03-23 |