| NPI | 1922090158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT B HARTWIG Co President/CEO 660-886-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 004160) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 2008025199) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2010-11-04 |