| NPI | 1700928249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY GRAHAM Pharmacisr 816-887-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO PS004160) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |