NPI | 1063479897 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW J CARLISLE President 636-928-3957 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO PS0023530) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2020-08-22 |