| NPI | 1790790335 |
|---|---|
| Doing Business As | FOX GRAPE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD HERRMANN Owner 417-883-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 005876) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |