| NPI | 1770648495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL LAWSON Pharmacist In Charge 573-546-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 2004022494) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |