| NPI | 1568546307 |
|---|---|
| Doing Business As | WHALEY'S SOUTHWEST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TREVOR ISRINGHAUSEN Managing Pharmacist 573-634-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MO 2000143574) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-02-19 |