| NPI | 1588867519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY TAYLOR BROWN Owner 573-663-7707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2003027251) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2015-07-15 |