| NPI | 1942317565 |
|---|---|
| Doing Business As | BOONE PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BARRY CHAMBERS CFO 573-815-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 005802) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2021-03-15 |