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 |