| NPI | 1538253224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS BERDING Owner 660-263-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO PS003394) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-03-04 |