| NPI | 1639213267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBINSON Pharmacist In Charge 573-785-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MO 6274) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-06-12 |