| NPI | 1154711729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BERRY Exec Dir Retail Pharmacy Svcs 314-628-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2017-08-07 |