| NPI | 1336561117 |
|---|---|
| Doing Business As | GOSNEY LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | JORDAN GOSNEY Owner 573-629-1506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MO 2014000958) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2016-09-16 |