| NPI | 1992972780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY J GOETZINGER Owner/Pharmacist 417-868-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 006448) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |