| NPI | 1932215415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG R SCOTT Owner Member 573-246-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 2002014845) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 2002014845) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-12-06 |