| NPI | 1114107216 |
|---|---|
| Doing Business As | LAUREL LONG TERM CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANIEL MANDOLI COO 314-494-7493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: PA PP481698) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2025-09-12 |