| NPI | 1407245012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A CADY PIC/ Co Owner 660-240-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2015012618) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 2015012618) | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2019-05-14 |