| NPI | 1861638314 |
|---|---|
| Doing Business As | UVANTA PHARMACY- SOUTHERN MISSOURI |
| Entity Type | Organization |
| Authorized Contact | MICHAEL COUNTS Manager 417-894-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MO 2009000059) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2016-06-16 |