| NPI | 1750420188 |
|---|---|
| Doing Business As | NORTHWEST MO PRC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MOLLY JANE BOECKMANN Director Of Administrative Services 573-751-4055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-09-03 |