| NPI | 1720138837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY BRAUER Pharmacist 573-581-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 0126) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-06-17 |