| NPI | 1588730246 |
|---|---|
| Doing Business As | COUNTRY MART |
| Entity Type | Organization |
| Authorized Contact | BOBBIE HUFFORD CEO 573-783-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR19475) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2017-04-07 |