| NPI | 1811205271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN ROBERTS Pharmacist In Charge 573-821-2438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 2018007651) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: MO 2018007651) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2018-03-10 |