| NPI | 1790835874 |
|---|---|
| Doing Business As | MED DEPOT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVE KUTTENKULER Pharmacist 660-665-7239 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 004752) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2018-12-13 |