| NPI | 1477625267 |
|---|---|
| Doing Business As | GRAND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GREGORY YATES GILMORE Owner/Pharmacist 573-221-2792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 004527) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2024-07-01 |