| NPI | 1669985396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN HAMBY Business Manager 573-760-5112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2025-01-25 |