NPI | 1013076017 |
---|---|
Doing Business As | ST. CHARLES REXALL DRUG CO. |
Entity Type | Organization |
Authorized Contact | DANIEL HOLLAWAY Owner And PIC 636-946-6606 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: MO 005065) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2008-07-31 |