| NPI | 1649391020 |
|---|---|
| Doing Business As | BOURBON DRUGS INC |
| Entity Type | Organization |
| Authorized Contact | THOMAS BURNETT PIC 573-732-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 005285) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-10-10 |