| NPI | 1588735591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK TAYLOR President 417-829-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 2005003801) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |