| NPI | 1578745378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET S KERBY Owner/Officer 660-265-1078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2007010690) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |