| NPI | 1538204532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN H MICHEL President 573-785-8218 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-07-24 |