| NPI | 1881685691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LAWRENCE Owner 417-886-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 005236) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2008-02-04 |