| NPI | 1861488660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW OSTERKAMP Pharmacist 573-898-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 029059) | |
| 333600000X Pharmacy (Licence: MO 029059) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-02-14 |