| NPI | 1417901646 |
|---|---|
| Doing Business As | KILGORE'S MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANN BROMSTEDT Owner 573-442-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2008000930) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-01-21 |