| NPI | 1578667192 |
|---|---|
| Doing Business As | GRAIN VALLEY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DENISE E LANGEVIN Pharmacy Manager 816-847-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2002030200) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2009-01-15 |