| NPI | 1922417021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DYAN WORTHINGTON Registered Pharmacist 816-805-3529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2014026883) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |