NPI | 1053357566 |
---|---|
Doing Business As | ST ANTHONYS RETAIL PHARMACY |
Entity Type | Organization |
Authorized Contact | KEN VENUTO CFO 314-525-7340 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2000160057) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-06-22 |
Last Update Date | 2016-03-14 |