| NPI | 1831235944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANNY GERLT Pharmacist 660-826-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 6034) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |