NPI | 1982057501 |
---|---|
Doing Business As | MIDWEST CONVENIENT CARE |
Entity Type | Organization |
Authorized Contact | MARY ELIZABETH CHANDLER Manager 573-358-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2016-07-19 |
Last Update Date | 2016-07-19 |