NPI | 1487013850 |
---|---|
Doing Business As | STONES CORNER PHARMACY |
Entity Type | Organization |
Authorized Contact | CHAD OLIVER ISAACS President 417-624-6590 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MO 2016003016) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2016-02-15 |
Last Update Date | 2019-10-08 |