NPI | 1952349367 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID STEVENSON President 816-238-2424 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 004687) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-06-04 |
Last Update Date | 2013-01-14 |