| NPI | 1356612329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BARTLETT Pharmacist, Owner 417-206-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2012000069) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |