NPI | 1023466984 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA R ARCHIBALD-CLABON Chief Executive Officer 314-367-5820 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MO 2016012067) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336M0002X Pharmacy, Mail Order Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2016-06-01 |
Last Update Date | 2020-09-14 |