NPI | 1629176037 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL HEFNER Owner/Pharmacist 417-581-7777 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MO 5042) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |