NPI | 1336343227 |
---|---|
Entity Type | Organization |
Authorized Contact | CONNIE JEAN BLACKFORD Member, Manager 816-918-6467 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2007016458) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2008-06-23 |