| NPI | 1427177955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM NABER Pharmacist 660-885-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO PS002683) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |