| NPI | 1700891330 |
|---|---|
| Doing Business As | MISSOURI STATE UNIVERSITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RANDY BASS Pharmacist In Charge 417-836-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 003141) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2017-03-10 |