| NPI | 1861721227 |
|---|---|
| Doing Business As | COUNTRY MART PHARMACY # 73 |
| Entity Type | Organization |
| Authorized Contact | ERICK TAYLOR C.E.O./President 417-829-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2015-10-14 |