| NPI | 1366465254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE KENT Manager 816-531-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2006019985) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-02-17 |