NPI | 1104953942 |
---|---|
Doing Business As | WEST PINE PHARMACY |
Entity Type | Organization |
Authorized Contact | DEVIN DALPOAS PIC And President 314-533-1081 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 003843) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336M0002X Pharmacy, Mail Order Pharmacy | |
Enumeration Date | 2007-02-28 |
Last Update Date | 2024-07-01 |