| NPI | 1669814182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA UMFLEET Secretary Of LLC, Owner 573-747-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 2013024667) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2025-01-25 |