| NPI | 1508612821 |
|---|---|
| Doing Business As | THE BREAST BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | ADAM M POPLE Owner 573-519-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2025-06-19 |