| NPI | 1477990075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SUMMERS Pharmacist/Owner 660-885-3034 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2013014245) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2021-01-22 |