| NPI | 1700962925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY KIMBEL Pharmacist 573-581-6450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO PS004339) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |