| NPI | 1720073174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JEAN ROTTERMAN Pres 816-324-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 005814) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MO 005814) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2018-03-06 |