| NPI | 1528106515 |
|---|---|
| Doing Business As | MEDICINE STORE |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY KRIBBS Pharmacist/Manager 660-827-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MO 004866) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2023-03-07 |