| NPI | 1851426852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MICHELLE COFFMAN Owner/Pharmacist 417-926-4156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 200059684) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2024-01-25 |