| NPI | 1740233311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER MILLER Owner 417-532-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 004859) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-02-20 |