NPI | 1790254647 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY CHAWNTAY CORYELL Pharmacist 417-861-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist |
Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Enumeration Date | 2018-11-21 |
Last Update Date | 2018-11-21 |