| NPI | 1760403711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA WILLIAMS PIC 816-453-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 006443) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |