| NPI | 1972043271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MARINO CFO 816-347-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2019-08-01 |