| NPI | 1366545592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE THOMPSON President 573-768-1529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 002790) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2018-01-04 |