| NPI | 1134422546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CORDES Pharmacy Manager 314-965-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 0339) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2011-10-04 |