| NPI | 1730828229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COUNTS President/Owner 417-450-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |