NPI | 1801885041 |
---|---|
Entity Type | Organization |
Authorized Contact | RHONDA LEA MILLER-MORRISON President 417-678-4136 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: AR AR20382) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: AR AR20382) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2016-01-22 |