| NPI | 1023173986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A ANDERSON President/Owner 314-961-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MO 004811) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 004811) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MO 004811) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MO 004811) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2012-04-27 |