| NPI | 1487045159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PATRICK HUDSON Clinical Executive 816-686-0706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TN 005320) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |